How to verify healthcare provider enrollment with your AI

Give your AI an NPI number, and it will pull the clinician's specialty and enrollment details directly from CMS.gov. You'll get instant confirmation of their professional credentials and Medicare status.

1. 01

   Identify the provider

   The AI looks for a specific NPI in your prompt or searches for a clinician by name if the NPI is missing.

   search_doctors
2. 02

   Fetch registry data

   Once the provider is identified, the AI pulls their full profile from the federal database.

   get_doctor_by_npi
3. 03

   Validate enrollment

   The AI checks the specific Medicare status fields to ensure the clinician is eligible.

   get_doctor_by_npi
4. 04

   Report findings

   The agent summarizes the specialty, NPI, and enrollment status in your chat window.

   get_doctor_by_npisearch_doctors

CMS.gov Data Connector

You're all set. Choose your MCP client and follow the setup instructions.

Connector linkhttps://edge.vinkius.com/vk_preview_TumineXxFDkb65TJaWUHKbPMZhC92AkJtSWuaTcq/mcpCopy

Claude Desktop

Follow the steps below to connect in seconds.

1. 1In Claude Desktop, open Settings → Connectors.
2. 2Click “Add custom connector” and paste the connector link above as the remote MCP server URL.
3. 3Click Add and start a new chat — CMS.gov Data capabilities are ready to use.

Configuration · claude_desktop_config.jsonCopy

{
  "mcpServers": {
    "cmsgov-data-mcp": {
      "url": "https://edge.vinkius.com/vk_preview_TumineXxFDkb65TJaWUHKbPMZhC92AkJtSWuaTcq/mcp"
    }
  }
}

• Claude
• ChatGPT
• Cursor
• VS Code
• Windsurf
• Claude Code
• JetBrains
• Cline

Click the link to connect. Your credentials stay encrypted, and you can immediately start querying the registry from your preferred AI client.

• 01

  Can the AI update a provider's information in the CMS database?

  No. The AI can only read data from the CMS registry. It cannot change or write any information to federal records.

• 02

  What happens if I provide an NPI that doesn't exist?

  The AI will tell you it couldn't find a match in the CMS database. It cannot invent or guess provider details.

• 03

  Can I use this to find providers by their office address?

  Yes, you can use the search capability to find clinicians based on location data provided by CMS.

• 04

  Does the AI handle the actual Medicare billing?

  No. This tool is for verifying status and credentials only. It does not interact with billing systems or submit claims.

• 05

  Can the AI verify if a provider is board certified?

  The AI only reports the specialty and enrollment data provided by the CMS.gov registry.

• More questions about CMS.gov Data? See everything the CMS.gov Data Connector can do