The architecture is source-complete; going live on any source is a credentials change, not a rebuild. Every source carries its current readiness state, and we show a source as live only when it is actually called.
NPI / NPPES identity, OIG LEIE & SAM exclusions, public, non-PHI primary-source queries.
CAQH, ABMS / board certification, DEA / CDS, identical connector interface; live on credentials plus agreement.
NPDB, synthetic until eligible-entity permissible-purpose onboarding. We do not represent it as live before then.
Epic / Oracle Health (FHIR R4, HL7 v2 MFN), symplr / Cactus / MD-Staff, we sit above and activate / reconcile, not replace. Roadmap after the credentialing core.
For CIO and CISO evaluations: Request a Credentialing Architecture Brief