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Centene Provider Search API

RESTful API endpoints for search Providers' related information. More information can be found on the corresponding Alation page: https://alation.centene.com/table/538089/

Centene Provider Search API is one of 58 APIs that Centene publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

Tagged areas include Provider-Search-API. The published artifact set on APIs.io includes an OpenAPI specification, API documentation, a getting-started guide, and an API reference.

This API exposes 3 operations across 3 paths, and defines 98 schemas. It is described by OpenAPI 3.2.0, at version 2.0.

Requests are made against 3 base URLs: https://dev-int-api-gw.centene.com/provider-rtr/demographics/, https://test-int-api-gw.centene.com/provider-rtr/demographics/, https://api-gateway-01.centene.com/provider-rtr/demographics/.

3 operations 3 paths 98 schemas 3 GET

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.2.0
API Version
2.0
Base URL
https://iopc-pa.api.centene.com/iopc/pa
Authentication
OAuth 2.0
Resource Areas
1

Authentication & Security 1

Centene Provider Search API declares 1 security scheme for authenticating requests. It supports OAuth 2.0 (oauth2) using the clientCredentials flow, exposing 1 scope. By default, every request must be authenticated.

Paths & Operations 3

Across 3 paths, the API surfaces 3 operations — 3 GET. Each is listed below with its method, path, parameters, and response codes.

Provider-Search-API 3

RESTful API endpoints for search Providers' related information. More information can be found on the corresponding Alation page: https://alation.centene.com/table/538089/

GET
/provRTR/v2/provider/search
Search provider
SearchProvider 4 params → 200400403404500504
GET
/provRTR/v2/provider/search/health
Get provider search health
GetProviderSearchHealth → 200403424500504
GET
/provRTR/v2/provider/search/version
Get provider search version
GetProviderSearchVersion → 200403500504

Schemas 98

The contract defines 98 schemas that model the data the API accepts and returns. The most detailed are Provider (72 properties), Affiliation (60 properties), ProviderLocation (40 properties), Location (38 properties). Each schema is shown below with its type and property counts.

PPGRiskTypes
object
3 properties
Address
object
18 properties
PhoneNumber
object
7 properties
GeoCoords
object
3 properties
CBAS
object
1 property
NetworkTermReasons
object
3 properties
Affiliation
object
60 properties
versionResponse
object
Version response containing build information of the current api
3 properties
Provider
object
72 properties
OneCareKansas
object
6 properties
PanelQuestion
object
5 properties
IndependentPhysicianAssociation
object
3 properties
BusinessIdentifiers
object
2 properties
OfficeHours
object
10 properties
BusinessEntityAffiliations
object
4 properties
MedicareAdvantageRequired
object
7 properties
EligibleForDisplay
object
7 properties
PPG
object
5 properties
NetworkCycle
object
9 properties
Assessment
object
6 properties
VendorInformation
object
3 properties
EssentialCommunityProviderTypes
object
7 properties
AdditionalAddresses
object
15 properties
ProviderRelationships
object
7 properties
BillingPhoneNumbers
object
7 properties
ClinicallyIntegratedNetworks
object
5 properties
Service
object
3 properties
ExtenderInformation
object
6 properties
Location
object
38 properties
PPECCsk
object
2 properties
CertificationIssue
object
9 properties
ResilienceIntegratedSystemsExcellence
object
4 properties
ProvPrisonIndicator
object
6 properties
PnlcTerminationReason
object
3 properties
IndianHealthCareProvider
object
4 properties
MasterProviderKeys
object
5 properties
VFCProgram
object
3 properties
HealthHomeIds
object
4 properties
LocationProvider
object
10 properties
LegacyIds
object
4 properties
ProviderLocationLegacy
object
4 properties
AscensionOwnership
object
5 properties
MedicaidInfo
object
4 properties
CaveatMessages
object
2 properties
OfficeHourComponent
object
3 properties
Termination
object
3 properties
PPGPanelStatuses
object
4 properties
PhoneNumbers
object
7 properties
Panel
object
15 properties
MedicareAdvantage
object
8 properties
MedicareClaimsOptOuts
object
3 properties
NetworkComponent
object
3 properties
Certification
object
5 properties
GeoJSONPoint
object
2 properties
NetworkLocationAttributes
object
4 properties
PharmacyService
object
3 properties
OtherLicenseCertification
object
6 properties
CHDPCertificate
object
4 properties
DisclosureOfOwnership
object
8 properties
Phone
object
6 properties
ProgramEnrollment
object
5 properties
Accreditations
object
6 properties
NCAdvancedMedicaidHomeClinicallyIntegratedNetworkDataSharing
object
4 properties
Network
object
9 properties
NPI
object
5 properties
ProviderSpecialty
object
3 properties
Audit
object
2 properties
AmisysGroupRecord
object
2 properties
Taxonomies
object
3 properties
ProviderKansasIdentifiers
object
15 properties
CredentialingCycleInformation
object
6 properties
ProvNetLocSpecialties
object
2 properties
DEAInformation
object
3 properties
DirectoryDisplay
object
3 properties
ProviderType
object
7 properties
Attributes
object
3 properties
AdvancedMedicalHomeTier
object
5 properties
healthResponse
object
Health response containing the status of the mongo database
3 properties
AmisysProviderRecord
object
2 properties
ECMAssignmentType
object
2 properties
Insurance
object
8 properties
Agreement
object
10 properties
CCSCertificate
object
4 properties
EssentialCommunityProviderTypesProvLoc
object
7 properties
CLIAAccreditation
object
1 property
License
object
5 properties
Accreditation
object
7 properties
Specialty
object
14 properties
Specialties
object
3 properties
MedicalHome
object
23 properties
EssentialProviderIndicator
object
2 properties
Taxonomy
object
5 properties
ProviderLocation
object
40 properties
ProviderLocationTelemedicine
object
2 properties
ProviderInMedicaidLocation
object
2 properties
HCBSAccreditation
object
4 properties
ADAIndicator
object
14 properties
MessageHeader4
object
7 properties

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

centene-provider-search-api-api-openapi.yml Raw ↑

Other APIs Centene publishes across the network.

Centene Batch Results Ack Submit Transaction API
Centene Batch Results Retrieval Transaction API
Centene Batch Submit Ack Retrieval Transaction API
Centene Batch Submit Transaction API
Centene Care Team API
Centene Communication API
Centene Condition API
Centene Coverage API
Centene Custom Mapping API
Centene Custom Query Validator API
Centene Device API
Centene Diagnostic Report API
Where this information came from

This is an independent, third-party profile of Centene Provider Search API, published by API Evangelist. We do not operate, host, resell, or support these APIs, and we are not affiliated with or endorsed by the company unless stated above. Everything here is built from publicly available information — the company's own site, developer portal, documentation, public repositories, and the specifications it publishes for public use. Nothing is obtained by breaching a system, defeating an access control, or using credentials.

The Kin Score and Agent Readiness rating are independently calculated assessments of a company's public API artifacts, scored against a published rubric. They are not certifications, endorsements, security assessments, or audits.

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