Test Sandbox APIs
API Reference
Capability Statement
PractitionerRole
The PractitionerRole API provides a bundle of resources indicating which providers and organizations are in-network for a given network name and reference. This API also provides references to the /Practitioner, /Organization, and /Location APIs, which give additional contextual information (such as NPI, name, address, and hours of operation). This API functions in accordance with R4 FHIR specification.
URL
Sample Request
curl -X GET \
https://fhir.humana.com/api/PractitionerRole \curl -X GET \
https://fhir.humana.com/api/PractitionerRole \Sample Response
{
"resourceType": "Bundle",
"type": "searchset",
"timestamp": "2025-01-13T15:13:59.776+00:00",
"meta": {
"lastUpdated": "2025-01-13T15:13:59.776+00:00",
"versionId": "712008cd-d99f-4b8f-9e6d-78e0d53e0e63"
},
"entry": [
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/a53c62e917948377566f0a063bb37925d59ec89c6fbf4fbd98141154a077490b",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "a53c62e917948377566f0a063bb37925d59ec89c6fbf4fbd98141154a077490b",
"meta": {
"versionId": "589c479b-35bf-4ad5-bf97-829cf37cd380",
"lastUpdated": "2024-12-18T01:58:10.236+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/02ef4ccf00fe82ec7e7280416e433a1b8586144b2db04e3df546c7bcd8c11729",
"display": "Humana/ChoiceCare Network PPO"
}
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/1b3c33580f2e2094cbde0bfd58f8008ee6e29c06643ca310222045c82fe0ab0e"
},
"organization": {
"reference": "https://fhir.humana.com/api/Organization/13505efb2248fe994e8d63ab49681d12c963519dcb8d2e166be9cf369ddfa16f",
"display": "OBHG Georgia PC"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207V00000X",
"display": "Obstetrics & Gynecology Physician (Specialist)"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/603e887cd860fb2c3ae78a8187084e946d4c704928626c9b7535b5e5515631d8",
"display": "OBHG Georgia PC, Calhoun"
}
],
"telecom": [
{
"system": "phone",
"value": "8009672289",
"use": "work"
},
{
"system": "fax",
"value": "8777040499",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/6e2b9f054a5ef89ae4e65acdfbfe507baa4e85b14a9d270a3b9d6c8a20f2df95",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "6e2b9f054a5ef89ae4e65acdfbfe507baa4e85b14a9d270a3b9d6c8a20f2df95",
"meta": {
"versionId": "16854076-3912-4b99-9b61-011da885794a",
"lastUpdated": "2024-12-18T01:58:10.169+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/43ec9486d88c4e2274ec1c8b35d7b2da67e6514f9c10e4e88200b73ee704e222",
"display": "National POS - OpenAccess Plus"
}
},
{
"extension": [
{
"url": "acceptingPatients",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/68f10bf021d7734e071e07bbf561aa0f1bfc7974f266f71311b9177b177d39d1"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "111N00000X",
"display": "Chiropractor"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/ca8d3aece6b454371503704cd7dfa8d03cbfa031b4855541475a7bf60bf5c4cb"
}
],
"telecom": [
{
"system": "phone",
"value": "3142913666",
"use": "work"
},
{
"system": "fax",
"value": "3142913668",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/22380d366e1dabff96b880397fb063979bbde7d9426363ce584c9477b5ef1e8f",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "22380d366e1dabff96b880397fb063979bbde7d9426363ce584c9477b5ef1e8f",
"meta": {
"versionId": "40f010e8-7bce-4deb-893a-4243500ffe24",
"lastUpdated": "2024-12-18T01:58:10.169+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/02ef4ccf00fe82ec7e7280416e433a1b8586144b2db04e3df546c7bcd8c11729",
"display": "Humana/ChoiceCare Network PPO"
}
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/68f10bf021d7734e071e07bbf561aa0f1bfc7974f266f71311b9177b177d39d1"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "111N00000X",
"display": "Chiropractor"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/ca8d3aece6b454371503704cd7dfa8d03cbfa031b4855541475a7bf60bf5c4cb"
}
],
"telecom": [
{
"system": "phone",
"value": "3142913666",
"use": "work"
},
{
"system": "fax",
"value": "3142913668",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/84da80eadec45b95e3c06886693fc5fa4979be2854b24fb3a0d8a7d38ff6e383",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "84da80eadec45b95e3c06886693fc5fa4979be2854b24fb3a0d8a7d38ff6e383",
"meta": {
"versionId": "8b6af353-bf56-4863-9718-2ce5ce79c444",
"lastUpdated": "2024-12-18T01:58:10.451+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/f8d3bbe174ecae019d3d0f1c9ba7b9653e31f49e30b2f66795e77c119b51ba14",
"display": "Medicare PPO"
}
},
{
"extension": [
{
"url": "acceptingPatients",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/68f10bf021d7734e071e07bbf561aa0f1bfc7974f266f71311b9177b177d39d1"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "111N00000X",
"display": "Chiropractor"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/ca8d3aece6b454371503704cd7dfa8d03cbfa031b4855541475a7bf60bf5c4cb"
}
],
"telecom": [
{
"system": "phone",
"value": "3142913666",
"use": "work"
},
{
"system": "fax",
"value": "3142913668",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/dbdce3f11721eb90c7d043476ed5c108c64265d95f0b23c5ea357cde8a6347ab",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "dbdce3f11721eb90c7d043476ed5c108c64265d95f0b23c5ea357cde8a6347ab",
"meta": {
"versionId": "fe60ceb0-f2b9-44bb-8f3a-4ff372ab7f8d",
"lastUpdated": "2024-12-18T01:58:10.535+00:00"
},
"extension": [
{
"extension": [
{
"url": "ratingType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.humana.com/documentation/glossary/ProviderRatings",
"code": "effectivenessDescription"
}
]
}
},
{
"url": "ratingValue",
"valueString": "3 hearts"
}
],
"url": "http://hl7.org/fhir/us/directory-query/StructureDefinition/rating"
},
{
"extension": [
{
"url": "ratingType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.humana.com/documentation/glossary/ProviderRatings",
"code": "efficiencyDescription"
}
]
}
},
{
"url": "ratingValue",
"valueString": "2 badges"
}
],
"url": "http://hl7.org/fhir/us/directory-query/StructureDefinition/rating"
},
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/06a9b26e9c5bf380f15ba0625fa33a6a0d38215dbc5210c81cb1d705a71fc48a",
"display": "FL Medicare HMO25"
}
},
{
"extension": [
{
"url": "acceptingPatients",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/a440868cf4311953cb45c7ded9360009e1bb77775b6395a3e13aa9ef831794b1"
},
"organization": {
"reference": "https://fhir.humana.com/api/Organization/ef970f5d22a84e1a4a79c76f6abd0c2c3bc54ee341581c470b211ca651616038",
"display": "Vital MD Group Holding LLC"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207VM0101X",
"display": "Maternal & Fetal Medicine Physician"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/39256b01c40f9eebd5f75b08e5c47bab2283e2dd8765b2c873097d9d61702bc0",
"display": "Vital MD Group Holding LLC, Coral Springs"
},
{
"reference": "https://fhir.humana.com/api/Location/aa6d79a247037add7f98b1350d994d36db1ad8369e1b45684ba2d30623066067",
"display": "Vital MD Group Holding LLC, Boca Raton"
}
],
"telecom": [
{
"system": "phone",
"value": "9542555799",
"use": "work"
},
{
"system": "fax",
"value": "9542551989",
"use": "work"
},
{
"system": "phone",
"value": "5614885015",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/dd5902f09c41dda6e22466c509a449c1603d93e6fc6ac969f17330d13660e3b0",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "dd5902f09c41dda6e22466c509a449c1603d93e6fc6ac969f17330d13660e3b0",
"meta": {
"versionId": "cb5bc7bd-05c8-407b-a6d7-95817b38d8f2",
"lastUpdated": "2024-12-18T01:58:10.581+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/02ef4ccf00fe82ec7e7280416e433a1b8586144b2db04e3df546c7bcd8c11729",
"display": "Humana/ChoiceCare Network PPO"
}
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/a440868cf4311953cb45c7ded9360009e1bb77775b6395a3e13aa9ef831794b1"
},
"organization": {
"reference": "https://fhir.humana.com/api/Organization/ef970f5d22a84e1a4a79c76f6abd0c2c3bc54ee341581c470b211ca651616038",
"display": "Vital MD Group Holding LLC"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207VM0101X",
"display": "Maternal & Fetal Medicine Physician"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/39256b01c40f9eebd5f75b08e5c47bab2283e2dd8765b2c873097d9d61702bc0",
"display": "Vital MD Group Holding LLC, Coral Springs"
},
{
"reference": "https://fhir.humana.com/api/Location/aa6d79a247037add7f98b1350d994d36db1ad8369e1b45684ba2d30623066067",
"display": "Vital MD Group Holding LLC, Boca Raton"
}
],
"telecom": [
{
"system": "phone",
"value": "9542555799",
"use": "work"
},
{
"system": "fax",
"value": "9542551989",
"use": "work"
},
{
"system": "phone",
"value": "5614885015",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/42ccf509db2eecbc9b57d755fb230e7bb4130ac5026479df8dea1614df25db24",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "42ccf509db2eecbc9b57d755fb230e7bb4130ac5026479df8dea1614df25db24",
"meta": {
"versionId": "12153c23-4c4c-42fa-949a-76c76a86ed7f",
"lastUpdated": "2024-12-18T01:58:10.614+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/274dc971439ae7940739f2fd7e9a93f9eb7f4cda7ce3c2e89e8beef49e496a6c",
"display": "HumanaPPO"
}
},
{
"extension": [
{
"url": "acceptingPatients",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/a440868cf4311953cb45c7ded9360009e1bb77775b6395a3e13aa9ef831794b1"
},
"organization": {
"reference": "https://fhir.humana.com/api/Organization/ef970f5d22a84e1a4a79c76f6abd0c2c3bc54ee341581c470b211ca651616038",
"display": "Vital MD Group Holding LLC"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207VM0101X",
"display": "Maternal & Fetal Medicine Physician"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/39256b01c40f9eebd5f75b08e5c47bab2283e2dd8765b2c873097d9d61702bc0",
"display": "Vital MD Group Holding LLC, Coral Springs"
},
{
"reference": "https://fhir.humana.com/api/Location/aa6d79a247037add7f98b1350d994d36db1ad8369e1b45684ba2d30623066067",
"display": "Vital MD Group Holding LLC, Boca Raton"
}
],
"telecom": [
{
"system": "phone",
"value": "9542555799",
"use": "work"
},
{
"system": "fax",
"value": "9542551989",
"use": "work"
},
{
"system": "phone",
"value": "5614885015",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/3b55d2d8a3e474ff3f6afac2560c17ef058fb516cc7a43248803ba2488f1acc9",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "3b55d2d8a3e474ff3f6afac2560c17ef058fb516cc7a43248803ba2488f1acc9",
"meta": {
"versionId": "badaceea-e237-470d-a74d-678c4b1eb851",
"lastUpdated": "2024-12-18T01:58:10.660+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/d66e5a6e55fa446f09c0ece671af67ff244e6f96c2cda9385794d1df323215a2",
"display": "Humana Preferred PPO"
}
},
{
"extension": [
{
"url": "acceptingPatients",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/a440868cf4311953cb45c7ded9360009e1bb77775b6395a3e13aa9ef831794b1"
},
"organization": {
"reference": "https://fhir.humana.com/api/Organization/ef970f5d22a84e1a4a79c76f6abd0c2c3bc54ee341581c470b211ca651616038",
"display": "Vital MD Group Holding LLC"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207VM0101X",
"display": "Maternal & Fetal Medicine Physician"
}
]
}
],
"location": [
{
"reference": "https://fhir.humana.com/api/Location/39256b01c40f9eebd5f75b08e5c47bab2283e2dd8765b2c873097d9d61702bc0",
"display": "Vital MD Group Holding LLC, Coral Springs"
},
{
"reference": "https://fhir.humana.com/api/Location/aa6d79a247037add7f98b1350d994d36db1ad8369e1b45684ba2d30623066067",
"display": "Vital MD Group Holding LLC, Boca Raton"
}
],
"telecom": [
{
"system": "phone",
"value": "9542555799",
"use": "work"
},
{
"system": "fax",
"value": "9542551989",
"use": "work"
},
{
"system": "phone",
"value": "5614885015",
"use": "work"
}
]
}
},
{
"fullUrl": "https://fhir.humana.com/api/PractitionerRole/33768a05a48191f302d516a1fbf64ef51f7f193ee3465f1be8f8c89d7438687c",
"search": {
"mode": "match"
},
"resource": {
"resourceType": "PractitionerRole",
"id": "33768a05a48191f302d516a1fbf64ef51f7f193ee3465f1be8f8c89d7438687c",
"meta": {
"versionId": "5b814942-1f96-4679-bee8-b2961b6417ee",
"lastUpdated": "2024-12-18T01:58:10.851+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/network-reference",
"valueReference": {
"reference": "https://fhir.humana.com/api/Organization/85c836ff969252d449d17413d5d8a24df090c4f7b4585de6d112e636d9a6740e",
"display": "National POS - OpenAccess"
}
},
{
"extension": [
{
"url": "acceptingPatients",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/AcceptingPatientsCS",
"code": "newpt",
"display": "Accepting"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/newpatients"
}
],
"active": true,
"practitioner": {
"reference": "https://fhir.humana.com/api/Practitioner/a440868cf4311953cb45c7ded9360009e1bb77775b6395a3e13aa9ef831794b1"
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