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Eden Engine

NY Medicaid Enrolled Provider Lookup (NY State Department of Health)

nyhealthopendata/medicaid-provider-lookup

Looks up providers enrolled in New York State Medicaid from the NY State Department of Health open data listing: MMIS id, NPI, provider name, Medicaid type (for example fee for service), profession or service, service address, county, coordinates and enrollment start date. One row per service location. Search by exact NPI, MMIS id, county, city or profession (upper case, at least one filter required, at most 100 rows per call, paging up to an offset of 1000). Filters are case-sensitive and exact: county BRONX matches, bronx matches nothing. Some enrolled providers are individuals. Data from the NY State Department of Health, passed through unmodified and served by Eden Engine; not an official New York State product.

activeper callv1

Price

$0.0026 per call

You pay the price shown. If a call turns out to cost more than its quote, you pay the actual price, capped at twice the quote. No monthly minimum. Top-ups start at $5.

Data source

New York State Department of Health

Data from the New York State Department of Health, via the NY State Health Open Data portal (health.data.ny.gov), Medicaid enrolled provider listing. Passed through unmodified. Served by Eden Engine; not an official New York State Department of Health product.

Use it

Five steps: search, inspect, learn, run, settle. No per-tool setup; your agent reaches this tool through the meta-tools it already has.

Connect once and your AI can find and run this tool, and any other it needs.

agent
// 1. search: find the tool
omnial_search({ query: "what you need" })

// 2. inspect: price and input schema
omnial_inspect({ tool: "nyhealthopendata/medicaid-provider-lookup" })

// 3. learn: read the usage guide at runtime
omnial_learn({ tool: "nyhealthopendata/medicaid-provider-lookup" })

// 4. run: price the exact call first, then run it
omnial_execute({ tool: "nyhealthopendata/medicaid-provider-lookup", input: { /* see input_schema */ }, dry_run: true })
omnial_execute({ tool: "nyhealthopendata/medicaid-provider-lookup", input: { /* ... */ } })

// 5. settle: the call is charged when it finishes, nothing to do

Not connected yet? Point your MCP client at https://mcp.eden-engine.com/mcp, then copy a config for your client.

Pricing

Every charge this tool can incur.

ChargePrice
Per call
$0.0026
Updated
Oct 20, 2026

Input and output schemas

Input schema
input_schema.json
{
  "type": "object",
  "anyOf": [
    {
      "required": [
        "npi"
      ]
    },
    {
      "required": [
        "mmis_id"
      ]
    },
    {
      "required": [
        "county"
      ]
    },
    {
      "required": [
        "city"
      ]
    },
    {
      "required": [
        "profession_or_service"
      ]
    }
  ],
  "required": [
    "limit"
  ],
  "properties": {
    "npi": {
      "type": "string",
      "pattern": "^[0-9]{10}$",
      "description": "Exact 10-digit National Provider Identifier, for example 1477672988."
    },
    "city": {
      "type": "string",
      "pattern": "^[A-Z][A-Z0-9 .'-]{1,59}$",
      "description": "Exact city name in upper case, for example MOUNT VERNON."
    },
    "limit": {
      "type": "integer",
      "maximum": 100,
      "minimum": 1,
      "description": "How many rows to return, 1 to 100."
    },
    "county": {
      "type": "string",
      "pattern": "^[A-Z][A-Z .'-]{1,39}$",
      "description": "Exact county name in upper case, for example BRONX or WESTCHESTER."
    },
    "offset": {
      "type": "integer",
      "maximum": 1000,
      "minimum": 0,
      "description": "Rows to skip before the first returned row, 0 to 1000, for paging through a filter. Defaults to 0."
    },
    "mmis_id": {
      "type": "string",
      "pattern": "^[0-9]{8}$",
      "description": "Exact 8-digit Medicaid (MMIS) provider id, with leading zeros, for example 00013098."
    },
    "profession_or_service": {
      "type": "string",
      "pattern": "^[A-Z][A-Z0-9 ()&,./'-]{1,79}$",
      "description": "Exact profession or service in upper case, for example PHARMACY or CHILD (FOSTER) CARE AGENCIES."
    }
  },
  "additionalProperties": false
}
Output schema
output_schema.json
{
  "type": "object",
  "required": [
    "results"
  ],
  "properties": {
    "results": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "npi": {
            "type": "string",
            "description": "National Provider Identifier."
          },
          "city": {
            "type": "string"
          },
          "state": {
            "type": "string"
          },
          "county": {
            "type": "string"
          },
          "mmis_id": {
            "type": "string",
            "description": "New York Medicaid Management Information System provider id."
          },
          "updated": {
            "type": "string",
            "description": "Date the row was last updated, floating timestamp."
          },
          "latitude": {
            "type": "string",
            "description": "Decimal degrees as a string."
          },
          "zip_code": {
            "type": "string"
          },
          "longitude": {
            "type": "string",
            "description": "Decimal degrees as a string."
          },
          "mmis_name": {
            "type": "string",
            "description": "Provider name as enrolled."
          },
          "telephone": {
            "type": "string",
            "description": "Present on some rows only."
          },
          "medicaid_type": {
            "type": "string",
            "description": "Medicaid program type, for example FFS (fee for service)."
          },
          "service_address": {
            "type": "string"
          },
          "enrollment_begin_date": {
            "type": "string",
            "description": "Floating timestamp, no time zone."
          },
          "profession_or_service": {
            "type": "string",
            "description": "Profession or service category."
          },
          "medically_fragile_children_directory_ind": {
            "type": "string",
            "description": "Y or N."
          }
        },
        "additionalProperties": true
      }
    }
  },
  "description": "The matching enrolled-provider rows, one per service location. Empty when nothing matches the filter.",
  "additionalProperties": true
}