# NPI Provider Lookup (`george.the.developer/npi-provider-lookup`) Actor

Look up US healthcare providers and organizations by NPI number, name, taxonomy, city, or state from the CMS NPPES registry.

- **URL**: https://apify.com/george.the.developer/npi-provider-lookup.md
- **Developed by:** [George Kioko](https://apify.com/george.the.developer) (community)
- **Categories:** Lead generation
- **Stats:** 1 total users, 0 monthly users, 0.0% runs succeeded, NaN bookmarks
- **User rating**: No ratings yet

## Pricing

Pay per usage

This Actor is paid per platform usage. The Actor is free to use, and you only pay for the Apify platform usage, which gets cheaper the higher subscription plan you have.

Learn more: https://docs.apify.com/platform/actors/running/actors-in-store#pay-per-usage

## What's an Apify Actor?

Actors are a software tools running on the Apify platform, for all kinds of web data extraction and automation use cases.
In Batch mode, an Actor accepts a well-defined JSON input, performs an action which can take anything from a few seconds to a few hours,
and optionally produces a well-defined JSON output, datasets with results, or files in key-value store.
In Standby mode, an Actor provides a web server which can be used as a website, API, or an MCP server.
Actors are written with capital "A".

## How to integrate an Actor?

If asked about integration, you help developers integrate Actors into their projects.
You adapt to their stack and deliver integrations that are safe, well-documented, and production-ready.
The best way to integrate Actors is as follows.

In JavaScript/TypeScript projects, use official [JavaScript/TypeScript client](https://docs.apify.com/api/client/js.md):

```bash
npm install apify-client
```

In Python projects, use official [Python client library](https://docs.apify.com/api/client/python.md):

```bash
pip install apify-client
```

In shell scripts, use [Apify CLI](https://docs.apify.com/cli/docs.md):

````bash
# MacOS / Linux
curl -fsSL https://apify.com/install-cli.sh | bash
# Windows
irm https://apify.com/install-cli.ps1 | iex
```bash

In AI frameworks, you might use the [Apify MCP server](https://docs.apify.com/platform/integrations/mcp.md).

If your project is in a different language, use the [REST API](https://docs.apify.com/api/v2.md).

For usage examples, see the [API](#api) section below.

For more details, see Apify documentation as [Markdown index](https://docs.apify.com/llms.txt) and [Markdown full-text](https://docs.apify.com/llms-full.txt).


# README

## NPI Provider Lookup

Look up US healthcare providers and organizations from the CMS NPPES NPI registry. Pass an NPI number, a name, a taxonomy, or a city and state, and get back clean normalized records instead of the raw nested registry JSON.

It runs as a standby API (instant HTTP responses) and also as a normal batch actor that writes to a dataset.

![API key](https://img.shields.io/badge/API%20key-not%20required-brightgreen)
![mode](https://img.shields.io/badge/mode-standby%20%2B%20batch-blue)
![pricing](https://img.shields.io/badge/pricing-pay%20per%20event-orange)
![source](https://img.shields.io/badge/source-CMS%20NPPES-informational)

```mermaid
flowchart LR
  A["Request<br/>NPI / name / taxonomy / state"] --> B{mode}
  B -->|provider| C["NPPES by NPI number"]
  B -->|search| D["NPPES individual search"]
  B -->|org| E["NPPES organization search"]
  C --> F["Flatten<br/>taxonomy + address + contact"]
  D --> F
  E --> F
  F --> G[("Dataset<br/>normalized providers")]
````

### What it does

- Resolves a single provider by 10-digit NPI number.
- Searches individual providers by last name, first name, taxonomy, city, and state.
- Searches organizations (NPI-2) by name and location.
- Flattens the registry payload into one row per provider with primary taxonomy, license, practice address, and phone.

Data comes straight from the public CMS NPPES registry API. No key, no proxy, no browser.

### Endpoints (standby mode)

| Method | Path | Query params | Returns |
| --- | --- | --- | --- |
| GET | `/provider` | `npi` | single normalized provider |
| GET | `/search` | `last_name`, `first_name`, `state`, `taxonomy`, `city`, `limit` | individual providers |
| GET | `/org` | `name`, `state`, `city`, `taxonomy`, `limit` | organizations |
| GET | `/` or `/health` | none | service info |

### Pricing (pay per event)

| Event | Price (USD) | When |
| --- | --- | --- |
| `actor-start` | $0.25 | once per paid batch run |
| `provider-record` | $0.01 | per normalized provider returned |
| `enriched-provider` | $0.02 | per provider that has full taxonomy + address + contact |

Health probe values like `test`, `ping`, `example`, or a placeholder NPI such as `1234567890` return a mock and are never charged.

### Example requests

Single provider by NPI:

```bash
curl "https://<your-standby-url>/provider?npi=1104130236"
```

Search individuals:

```bash
curl "https://<your-standby-url>/search?last_name=smith&state=CA&taxonomy=Family%20Medicine&limit=10"
```

Search organizations:

```bash
curl "https://<your-standby-url>/org?name=hospital&state=NY&limit=10"
```

Batch run (input JSON):

```json
{ "mode": "search", "last_name": "smith", "state": "CA", "limit": 25 }
```

### Output schema

Each provider row:

```json
{
  "npi": "1104130236",
  "type": "individual",
  "first_name": "SHELLEY",
  "last_name": "AKEY",
  "organization_name": null,
  "credential": "RN, NNP",
  "status": "A",
  "primary_taxonomy": "Nurse Practitioner, Neonatal",
  "taxonomy_code": "363LN0000X",
  "license": "AP3827",
  "enumeration_date": "2010-07-30",
  "last_updated": "2025-03-03",
  "practice_address": {
    "address_1": "1919 E THOMAS RD",
    "city": "PHOENIX",
    "state": "AZ",
    "postal_code": "850167710"
  },
  "phone": "602-933-6345",
  "fax": null,
  "fetched_at": "2026-06-10T00:00:00.000Z"
}
```

For organizations, `type` is `organization`, `organization_name` is populated, and `first_name` / `last_name` are null.

### Flow

```mermaid
flowchart TD
  A[Request] --> B{Path}
  B -->|/provider| C[fetchProviderByNpi]
  B -->|/search| D[searchProviders NPI-1]
  B -->|/org| E[searchOrganizations NPI-2]
  C --> F[CMS NPPES API]
  D --> F
  E --> F
  F --> G[normalizeProvider]
  G --> H{Full taxonomy + address + phone?}
  H -->|yes| I[charge provider-record + enriched-provider]
  H -->|no| J[charge provider-record]
  I --> K[JSON response / dataset]
  J --> K
```

### Privacy note

This actor reads only the CMS NPPES NPI registry, which is a public provider directory published by the Centers for Medicare and Medicaid Services. It contains business and licensing details about healthcare providers and organizations. There is no patient data, no PHI, and no treatment information involved.

# Actor input Schema

## `mode` (type: `string`):

Run mode for batch execution.

## `npi` (type: `string`):

10-digit NPI number for a single provider lookup.

## `first_name` (type: `string`):

Provider first name for search mode.

## `last_name` (type: `string`):

Provider last name for search mode.

## `organization_name` (type: `string`):

Organization name for org mode (NPI-2 records).

## `taxonomy` (type: `string`):

Optional taxonomy description filter such as 'Family Medicine' or 'Pharmacy'.

## `city` (type: `string`):

Optional practice city filter.

## `state` (type: `string`):

Optional 2-letter US state code such as CA or NY.

## `limit` (type: `integer`):

Maximum records to return.

## Actor input object example

```json
{
  "mode": "search",
  "last_name": "smith",
  "state": "CA",
  "limit": 25
}
```

# API

You can run this Actor programmatically using our API. Below are code examples in JavaScript, Python, and CLI, as well as the OpenAPI specification and MCP server setup.

## JavaScript example

```javascript
import { ApifyClient } from 'apify-client';

// Initialize the ApifyClient with your Apify API token
// Replace the '<YOUR_API_TOKEN>' with your token
const client = new ApifyClient({
    token: '<YOUR_API_TOKEN>',
});

// Prepare Actor input
const input = {};

// Run the Actor and wait for it to finish
const run = await client.actor("george.the.developer/npi-provider-lookup").call(input);

// Fetch and print Actor results from the run's dataset (if any)
console.log('Results from dataset');
console.log(`💾 Check your data here: https://console.apify.com/storage/datasets/${run.defaultDatasetId}`);
const { items } = await client.dataset(run.defaultDatasetId).listItems();
items.forEach((item) => {
    console.dir(item);
});

// 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/js/docs

```

## Python example

```python
from apify_client import ApifyClient

# Initialize the ApifyClient with your Apify API token
# Replace '<YOUR_API_TOKEN>' with your token.
client = ApifyClient("<YOUR_API_TOKEN>")

# Prepare the Actor input
run_input = {}

# Run the Actor and wait for it to finish
run = client.actor("george.the.developer/npi-provider-lookup").call(run_input=run_input)

# Fetch and print Actor results from the run's dataset (if there are any)
print("💾 Check your data here: https://console.apify.com/storage/datasets/" + run["defaultDatasetId"])
for item in client.dataset(run["defaultDatasetId"]).iterate_items():
    print(item)

# 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/python/docs/quick-start

```

## CLI example

```bash
echo '{}' |
apify call george.the.developer/npi-provider-lookup --silent --output-dataset

```

## MCP server setup

```json
{
    "mcpServers": {
        "apify": {
            "command": "npx",
            "args": [
                "mcp-remote",
                "https://mcp.apify.com/?tools=george.the.developer/npi-provider-lookup",
                "--header",
                "Authorization: Bearer <YOUR_API_TOKEN>"
            ]
        }
    }
}

```

## OpenAPI specification

```json
{
    "openapi": "3.0.1",
    "info": {
        "title": "NPI Provider Lookup",
        "description": "Look up US healthcare providers and organizations by NPI number, name, taxonomy, city, or state from the CMS NPPES registry.",
        "version": "1.0",
        "x-build-id": "WtHuzBBZWnKaRrQRP"
    },
    "servers": [
        {
            "url": "https://api.apify.com/v2"
        }
    ],
    "paths": {
        "/acts/george.the.developer~npi-provider-lookup/run-sync-get-dataset-items": {
            "post": {
                "operationId": "run-sync-get-dataset-items-george.the.developer-npi-provider-lookup",
                "x-openai-isConsequential": false,
                "summary": "Executes an Actor, waits for its completion, and returns Actor's dataset items in response.",
                "tags": [
                    "Run Actor"
                ],
                "requestBody": {
                    "required": true,
                    "content": {
                        "application/json": {
                            "schema": {
                                "$ref": "#/components/schemas/inputSchema"
                            }
                        }
                    }
                },
                "parameters": [
                    {
                        "name": "token",
                        "in": "query",
                        "required": true,
                        "schema": {
                            "type": "string"
                        },
                        "description": "Enter your Apify token here"
                    }
                ],
                "responses": {
                    "200": {
                        "description": "OK"
                    }
                }
            }
        },
        "/acts/george.the.developer~npi-provider-lookup/runs": {
            "post": {
                "operationId": "runs-sync-george.the.developer-npi-provider-lookup",
                "x-openai-isConsequential": false,
                "summary": "Executes an Actor and returns information about the initiated run in response.",
                "tags": [
                    "Run Actor"
                ],
                "requestBody": {
                    "required": true,
                    "content": {
                        "application/json": {
                            "schema": {
                                "$ref": "#/components/schemas/inputSchema"
                            }
                        }
                    }
                },
                "parameters": [
                    {
                        "name": "token",
                        "in": "query",
                        "required": true,
                        "schema": {
                            "type": "string"
                        },
                        "description": "Enter your Apify token here"
                    }
                ],
                "responses": {
                    "200": {
                        "description": "OK",
                        "content": {
                            "application/json": {
                                "schema": {
                                    "$ref": "#/components/schemas/runsResponseSchema"
                                }
                            }
                        }
                    }
                }
            }
        },
        "/acts/george.the.developer~npi-provider-lookup/run-sync": {
            "post": {
                "operationId": "run-sync-george.the.developer-npi-provider-lookup",
                "x-openai-isConsequential": false,
                "summary": "Executes an Actor, waits for completion, and returns the OUTPUT from Key-value store in response.",
                "tags": [
                    "Run Actor"
                ],
                "requestBody": {
                    "required": true,
                    "content": {
                        "application/json": {
                            "schema": {
                                "$ref": "#/components/schemas/inputSchema"
                            }
                        }
                    }
                },
                "parameters": [
                    {
                        "name": "token",
                        "in": "query",
                        "required": true,
                        "schema": {
                            "type": "string"
                        },
                        "description": "Enter your Apify token here"
                    }
                ],
                "responses": {
                    "200": {
                        "description": "OK"
                    }
                }
            }
        }
    },
    "components": {
        "schemas": {
            "inputSchema": {
                "type": "object",
                "properties": {
                    "mode": {
                        "title": "Mode",
                        "enum": [
                            "provider",
                            "search",
                            "org"
                        ],
                        "type": "string",
                        "description": "Run mode for batch execution.",
                        "default": "search"
                    },
                    "npi": {
                        "title": "NPI number",
                        "type": "string",
                        "description": "10-digit NPI number for a single provider lookup."
                    },
                    "first_name": {
                        "title": "First name",
                        "type": "string",
                        "description": "Provider first name for search mode."
                    },
                    "last_name": {
                        "title": "Last name",
                        "type": "string",
                        "description": "Provider last name for search mode.",
                        "default": "smith"
                    },
                    "organization_name": {
                        "title": "Organization name",
                        "type": "string",
                        "description": "Organization name for org mode (NPI-2 records)."
                    },
                    "taxonomy": {
                        "title": "Taxonomy",
                        "type": "string",
                        "description": "Optional taxonomy description filter such as 'Family Medicine' or 'Pharmacy'."
                    },
                    "city": {
                        "title": "City",
                        "type": "string",
                        "description": "Optional practice city filter."
                    },
                    "state": {
                        "title": "State",
                        "type": "string",
                        "description": "Optional 2-letter US state code such as CA or NY.",
                        "default": "CA"
                    },
                    "limit": {
                        "title": "Limit",
                        "minimum": 1,
                        "maximum": 200,
                        "type": "integer",
                        "description": "Maximum records to return.",
                        "default": 25
                    }
                }
            },
            "runsResponseSchema": {
                "type": "object",
                "properties": {
                    "data": {
                        "type": "object",
                        "properties": {
                            "id": {
                                "type": "string"
                            },
                            "actId": {
                                "type": "string"
                            },
                            "userId": {
                                "type": "string"
                            },
                            "startedAt": {
                                "type": "string",
                                "format": "date-time",
                                "example": "2025-01-08T00:00:00.000Z"
                            },
                            "finishedAt": {
                                "type": "string",
                                "format": "date-time",
                                "example": "2025-01-08T00:00:00.000Z"
                            },
                            "status": {
                                "type": "string",
                                "example": "READY"
                            },
                            "meta": {
                                "type": "object",
                                "properties": {
                                    "origin": {
                                        "type": "string",
                                        "example": "API"
                                    },
                                    "userAgent": {
                                        "type": "string"
                                    }
                                }
                            },
                            "stats": {
                                "type": "object",
                                "properties": {
                                    "inputBodyLen": {
                                        "type": "integer",
                                        "example": 2000
                                    },
                                    "rebootCount": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "restartCount": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "resurrectCount": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "computeUnits": {
                                        "type": "integer",
                                        "example": 0
                                    }
                                }
                            },
                            "options": {
                                "type": "object",
                                "properties": {
                                    "build": {
                                        "type": "string",
                                        "example": "latest"
                                    },
                                    "timeoutSecs": {
                                        "type": "integer",
                                        "example": 300
                                    },
                                    "memoryMbytes": {
                                        "type": "integer",
                                        "example": 1024
                                    },
                                    "diskMbytes": {
                                        "type": "integer",
                                        "example": 2048
                                    }
                                }
                            },
                            "buildId": {
                                "type": "string"
                            },
                            "defaultKeyValueStoreId": {
                                "type": "string"
                            },
                            "defaultDatasetId": {
                                "type": "string"
                            },
                            "defaultRequestQueueId": {
                                "type": "string"
                            },
                            "buildNumber": {
                                "type": "string",
                                "example": "1.0.0"
                            },
                            "containerUrl": {
                                "type": "string"
                            },
                            "usage": {
                                "type": "object",
                                "properties": {
                                    "ACTOR_COMPUTE_UNITS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_WRITES": {
                                        "type": "integer",
                                        "example": 1
                                    },
                                    "KEY_VALUE_STORE_LISTS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_INTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_EXTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_RESIDENTIAL_TRANSFER_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_SERPS": {
                                        "type": "integer",
                                        "example": 0
                                    }
                                }
                            },
                            "usageTotalUsd": {
                                "type": "number",
                                "example": 0.00005
                            },
                            "usageUsd": {
                                "type": "object",
                                "properties": {
                                    "ACTOR_COMPUTE_UNITS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_WRITES": {
                                        "type": "number",
                                        "example": 0.00005
                                    },
                                    "KEY_VALUE_STORE_LISTS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_INTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_EXTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_RESIDENTIAL_TRANSFER_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_SERPS": {
                                        "type": "integer",
                                        "example": 0
                                    }
                                }
                            }
                        }
                    }
                }
            }
        }
    }
}
```
