Enroll Provider

import requests

url = 'https://api.simplex.sh/pa_enroll_provider'
headers = {
    'Authorization': 'Bearer your_api_key_here',
    'Content-Type': 'application/json'
}
data = {
    'portal': 'uhc',
    'credential_name': 'my_uhc_creds',
    'provider': {
        'first_name': 'Jane',
        'last_name': 'Smith',
        'middle_name': '',
        'suffix': '',
        'date_of_birth': '1980-06-15',
        'gender': 'female',
        'ssn': '123-45-6789',
        'npi': 1234567890,
        'profession': 'MD',
        'primary_specialty': 'internal_medicine',
        'primary_taxonomy': '207R00000X',
        'ethnicity': 'not_hispanic_latino',
        'race': ['white'],
        'birth_city': 'Chicago',
        'birth_country': 'US',
        'us_citizen': True,
        'us_graduated': True
    },
    'contact': {
        'primary_phone': '555-867-5309',
        'secondary_email': '',
        'communication_preference': ['TEXT'],
        'address': {
            'line_1': '456 Medical Center Dr',
            'line_2': 'Suite 200',
            'city': 'Houston',
            'state': 'TX',
            'postal_code': '77001',
            'country': 'US'
        }
    },
    'employment': {
        'type': 'full_time',
        'title': '',
        'start_date': '2024-03-19',
        'care_delivery_setting': 'clinic_based'
    },
    'licensing': {
        'is_prescribing': True,
        'has_dea_certificate': True,
        'is_dea_eligible': True,
        'medicaid_id': '',
        'medicare_ptan': ''
    },
    'credentialing': {
        'caqh_number': '12345678',
        'credentialing_status': 'not_requested',
        'background_check_status': 'not_requested',
        'verification_status': 'in_progress',
        'has_caqh_management': True
    },
    'agreements': {
        'esignature_consent': True,
        'esignature_name': 'Jane Smith',
        'caqh_esignature_consent': True,
        'caqh_esignature_name': 'Jane Smith',
        'caqh_attestation_date': '2025-03-27'
    }
}

response = requests.post(url, headers=headers, json=data)
result = response.json()
print(f"Enrollment submitted: {result['success']}")
print(f"Enrollment ID: {result['enrollment_id']}")

{
  "success": true,
  "enrollment_id": "<string>",
  "status": "submitted"
}