{"uid":"cap_rashgkHRFGwdLVF44lIHj","slug":"us-healthcare-provider-compliance-verifier-45be9f00","name":"US Healthcare Provider Compliance Verifier","description":"Full compliance verdict for a US healthcare provider: fuses live NPPES registration status, taxonomy and license, Medicare PECOS enrollment, and OIG LEIE exclusion into a deterministic verdict with risk flags. Accepts an npi, a name, or an organization.","url":"https://api.agentstools.dev/provider/verify?utm_source=zero.xyz","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"queryParams":{"type":"object","properties":{"dob":{"type":"string","description":"Date of birth to corroborate exclusion screening (YYYY-MM-DD)"},"npi":{"type":"string","description":"10-digit National Provider Identifier"},"state":{"type":"string","description":"Two-letter US state code to narrow a name search"},"last_name":{"type":"string","description":"Individual provider last name"},"first_name":{"type":"string","description":"Individual provider first name"},"organization":{"type":"string","description":"Organization/business name"}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.1","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":{"p10Cents":"10.0000","medianCents":"10.0000","p90Cents":"10.0000","minCents":"10.0000","maxCents":"10.0000","p95Cents":"10.0000","sampleCount":1,"varies":false,"failureChargeRate":1},"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.1/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.1","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.1","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_-V8M4eS7McUvidY9q3bMR","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.1","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Returns a full compliance verdict for a US healthcare provider by fusing NPPES registration, Medicare PECOS enrollment, and OIG LEIE exclusion data into a single deterministic verdict with risk flags.","exampleAgentPrompt":"Can you run a full compliance check on Dr. Jane Smith, NPI 1234567890, in California — I need to know if she's excluded from Medicare and whether her NPPES registration and PECOS enrollment are active?","exampleUseCases":null,"resultDescription":"A deterministic compliance verdict combining NPPES registration status, provider taxonomy, license details, Medicare PECOS enrollment status, and OIG LEIE exclusion status, along with structured risk flags highlighting any compliance issues found.","failureModes":["NPI not found in NPPES — returns not-found or invalid NPI error","Name search returns multiple or ambiguous results when state not provided","OIG LEIE lookup timeout or upstream data source unavailable","Invalid NPI format (not 10 digits) returns validation error","Provider found but data is stale if underlying registries are delayed"],"whenToPreferThis":"Use this endpoint when you need a single fused compliance verdict for a US healthcare provider that combines NPPES, Medicare PECOS, and OIG LEIE data in one call, rather than querying each government source separately. Ideal for credentialing workflows, prior-to-engagement screening, or automated compliance audits.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-10-11T18:35:32.035Z","isFirstParty":false,"canonicalSlug":"us-healthcare-provider-compliance-verifier-45be9f00"}