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FonteumThe Graph

By use case

Exclusion & monitoring (self-serve)Free roster screen — no accountExclusion & sanctions screeningCredentialing & provider-data enrichmentAudit evidence & defensible programsProvider data for AI / RAGM&A & network diligence

By buyer

Compliance & riskJournalists & newsroomsDevelopers & AI teams

By industry

HealthcareProviders & facilitiesSanctionsOFAC / EU / UK / UN / OIG / SAMFederal contractingSAM · USASpending · FAPIIS

The capability layer

APIREST + bulk accessFor AI agentsModel Context Protocol serverFHIR R4 APIBulk exportAudit packSigned report artifacts; source facts remain separately citedReconciliationSource-vs-source diffsAI answers with sourcesHow records link upHistoryRetained versions for named sources

The differentiator

Coverage & sourcesThe catalogFreshnessMethodologyCare CompareFacility qualityAI answers, comparedBrowse all datasets →
Research

The dev on-ramp

DocsAPI referenceConnect your AI agent (MCP)One-paste installFHIR sandboxLive API surfaceQuickstartStatusChangelogSDKs & integrations
Pricing
Sign inFree roster screen →Get a signed certificate →

Solutions

Exclusion & monitoring (self-serve)Exclusion & sanctions screeningCredentialing & provider-data enrichmentAudit evidence & defensible programsProvider data for AI / RAGM&A & network diligenceCompliance & riskJournalists & newsroomsDevelopers & AI teamsHealthcareSanctionsFederal contracting

Platform

APIFor AI agentsFHIR R4 APIBulk exportAudit packReconciliationAI answers with sourcesHow records link upHistory

Data

Coverage & sourcesFreshnessMethodologyCare CompareAI answers, comparedBrowse all datasets →
Research

Developers

DocsAPI referenceConnect your AI agent (MCP)FHIR sandboxQuickstartStatusChangelogSDKs & integrations
Pricing
Sign inFree roster screen →Get a signed certificate →

FOR · DIGITAL HEALTH ENGINEERING

PBJ rows

Wire supported public records and their available source metadata into your app.

One call returns a resolved provider with the source metadata available for that response. Fields may be null or lack a complete provenance tuple. FHIR R4, REST, and MCP.

Read the API docs →
11.9M

NPPES + PECOS rows

Approximate serving-table rows counted separately; not unique entities or FHIR-resource coverage.

<24 h

Refresh lag

Federal CMS source files pulled on a daily schedule.

FHIR resources

Practitioner · Organization · Location · PractitionerRole · HealthcareService

Sandbox · instant access

Get a read-only sandbox token in seconds. The sandbox serves 200 real provider records drawn from CMS data. Production keys require a pilot agreement and optionally a BAA.

Get sandbox access


Quickstart · 60 seconds

One request to look up a provider.

Pass an NPI in the identifier parameter. The response is a FHIR R4 Practitioner bundle. When source metadata is available, the resource can expose response-level tags on meta.tag; those tags are not individual-field signatures.

curl https://fonteum.com/api/fhir/r4/Practitioner?identifier=1234567890 \
  -H "Authorization: Bearer $FONTEUM_API_KEY" \
  -H "Accept: application/fhir+json"

Capability statement

US Core 6.1.0. Five resources. One endpoint.

The CapabilityStatement at /api/fhir/r4/metadata declares all supported interactions, search parameters, and conformance profiles. Supported resources may expose a nullable provenance block on meta.tag; availability varies by resource builder and source.

Practitioner

/api/fhir/r4/Practitioner

Individual clinician identity from the CMS federal practitioner registry — NPI, taxonomy, address, qualifications.

Organization

/api/fhir/r4/Organization

Practice groups and facility entities keyed by NPI-2 and CMS CCN.

Location

/api/fhir/r4/Location

Physical practice addresses linked to Practitioner and Organization resources.

PractitionerRole

/api/fhir/r4/PractitionerRole

Role binding — connects a Practitioner to an Organization at a Location.

HealthcareService

/api/fhir/r4/HealthcareService

Services offered by a facility or practitioner, with specialty coding.


FONTEUM API

Stable URIs. Snapshot attestations where present. Versioned methodology.

Read the API docs→ View OpenAPI

Auth flow

SMART on FHIR backend services. No redirect required.

Server-to-server apps use the SMART Backend Services profile. No user login, no OAuth redirect flow. Generate a JWT signed with your RS384 private key and post it to the token endpoint.

# 1. Build the client assertion JWT (RS384)
{
  "iss": "<client_id>",
  "sub": "<client_id>",
  "aud": "https://fonteum.com/api/fhir/r4/token",
  "exp": <unix_timestamp + 300>,
  "jti": "<unique_id>"
}

# 2. Exchange for an access token
curl -X POST https://fonteum.com/api/fhir/r4/token \
  -d "grant_type=client_credentials" \
  -d "client_assertion_type=urn:ietf:params:oauth:client-assertion-type:jwt-bearer" \
  -d "client_assertion=<signed_jwt>" \
  -d "scope=system/Practitioner.read"

Webhook subscriptions

Get notified when a provider record changes.

FHIR R4 Subscription resources let you register a channel and receive a ping whenever a Practitioner or Organization resource changes. The notification payload can carry the updated resource and the provenance fields available for that event. Available to pilot customers — request access at /pilot-intake.


Status & SLA

Performance and source freshness are measured separately.

38 ms

p50 latency

142 ms

p95 latency

290 ms

p99 latency

99.9 %

Uptime target

SLA applies to pilot and production tiers. Latency is measured at the API gateway. Source data refresh lag is separately tracked at /freshness.

Build toward a use case

The same REST and provenance contract powers three jobs compliance and risk teams buy on:

  • Exclusion & sanctions screening + roster monitoring →
  • Credentialing & provider-data enrichment →
  • Audit evidence & defensible programs →

FONTEUM · PILOT

Run a 90-day pilot. Public data only. No PHI.

Request access→ Read the methodology

What’s on file, by the numbers

Platform snapshot · 2026-07-15

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
35sources liveCrosswalk-resolved sources with a snapshot in the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
  • HRSA
  • FDA
  • NLM
  • NUCC
  • Census
  • BLS
  • BEA

See the full source registry, with license and refresh cadence for each →

Reproducible by design

Published figures name their source and date.

Source and date

Published research identifies its government file and observation date. Source-file SHA-256 coverage is disclosed separately; facts do not currently link deterministically to signatures.

Reproducible SQL

Each study ships the exact query behind its figures, run against the same dated copy of the federal file we used. Re-run it yourself.

Daily observations

The platform records table row counts daily. Those observations detect local drift; they do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Fonteum
Platform
Platform overviewAPIFor AI agents (MCP)FHIR R4 APIBulk exportAudit packReconciliationAI answers with sourcesHow records link upHistory
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All solutionsExclusion & sanctions screeningCredentialing & enrichmentAudit evidenceProvider data for AI / RAGUse casesM&A & network diligenceCompliance & riskJournalists & newsroomsDevelopers & AI teams
Data & sources
Coverage & sourcesBrowse all datasetsState Medicaid exclusionsFreshnessMethodologyCare CompareNursing homesRecall recordsSanctions screeningOIG LEIE listOwnershipStaffingDeficienciesSpecial Focus Facilities
Federal contracting
OverviewAwards during active exclusionFederal debarment scorecardProcurement questionsContractor lookup8(a) certification guide
Developers
Developer hubDocsAPI referenceQuickstartStatusChangelogSDKs & integrationsWebhooks
Research & guides
Research hubLearnHow it worksGuidesHealthcare provider dataExclusion & sanctions screeningProvider credentialing dataHealthcare data for AIHospital margin gapProvider access gapsGlossaryComparisonsSourced data vs plain LLM answersCitationsManifestoWhy Fonteum
Company
AboutPressCustomersPricingContactEditorial policyCorrections
Trust & legal
TrustTrust markQualitySecurityPrivacy policyTerms of serviceAPI termsMedical disclaimer

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum LLC. All rights reserved.

·hello@fonteum.com

A public-records graph that exposes source and observation metadata where supplied.

Fonteum's provenance ledger contained 26.2M source-linked facts on July 12, 2026. All but 14 carried a source-file SHA-256; 0 linked deterministically to a signature. Inspect a supplied snapshot id at fonteum.com/verify · source-mark coverage and limitations.
Request access→