Provider Directory API

Everything you need to know about the Provider Directory API including its purpose, who it affects, and when it goes into effect.

Pharmacist using a tablet

What Is The Provider Directory API?

FHIR® API conformant with the relevant technical requirements outlined in 45 CFR §170.215 that is accessible via a publicfacing digital endpoint and provides a complete and accurate directory of contracted providers, and, if applicable, pharmacies, updated no later than thirty (30) calendar after such data is received or updates to such information.

Names, addresses, phone numbers, and specialties.

Names, addresses, phone numbers, number of pharmacies in the network, and mix (specifically the type of pharmacy).

Who Does This Impact?

When Does It Take Effect?

What Should You Do Next?

Connect with 1upHealth to learn more about the Provider Directory API and how we can help you prepare for when it goes into effect.

Explore Other CMS APIS

Learn the purpose of the rules, who they affect, and when they go into effect.

Payer-to-Payer Data Exchange on FHIR® Overview

Learn More

Prior Authorization API Overview

Learn More

Patient Access API Overview

Learn More

Provider Access API Overview

Learn More

Ready to Learn More About Healthcare’s Modern Data Platform?