Provider Enrollment in Medicare

Access enrollment level data on individual and organizational providers that are actively approved to bill Medicare.

Usage

providers(
  npi = NULL,
  pac = NULL,
  enid = NULL,
  specialty_code = NULL,
  specialty_description = NULL,
  first = NULL,
  middle = NULL,
  last = NULL,
  organization = NULL,
  state = NULL,
  gender = NULL,
  tidy = TRUE,
  na.rm = TRUE,
  ...
)

Arguments

npi

< integer > 10-digit Individual National Provider Identifier

pac

< integer > 10-digit PECOS Associate Control ID

enid

< character > 15-digit Medicare Enrollment ID

specialty_code

< character > Enrollment specialty code

specialty_description

< character > Enrollment specialty description

first, middle, last

< character > Individual provider's name

organization

< character > Organizational provider's name

state

< character > Enrollment state, full or abbreviation

gender

< character > Individual provider's gender: "F" (Female), "M" (Male), "9" (Unknown/Organization)

tidy

< boolean > // default: TRUE Tidy output

na.rm

< boolean > // default: TRUE Remove empty rows and columns

...

Empty

Value

tibble with the columns:

Field	Description
npi	10-digit NPI
pac	10-digit PAC ID
enid	15-digit provider enrollment ID
specialty_code	Enrollment primary specialty type code
specialty_description	Enrollment specialty type description
first	Individual provider's first name
middle	Individual provider's middle name
last	Individual provider's last name
organization	Organizational provider's name
state	Enrollment state
gender	Individual provider's gender

Links

• Provider Enrollment API

• Provider Enrollment Data Dictionary

Update Frequency: Quarterly

Examples

if (FALSE) { # interactive()
providers(enid = "I20040309000221")
providers(npi = 1417918293, specialty_code = "14-41")
providers(pac = 2860305554, gender = "9")
}