NPIMap

Individual provider Active NPI

Daniel W Whitley, M.D.

  • Internal Medicine Physician
  • Corbin, KY
National Provider Identifier
1043215874
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23298 Issued in KY
Practice address
1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone
(606) 528-4481
Fax
(606) 528-2857
NPI assigned
Jun 17, 2005
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23298 KY Primary

Addresses

Primary practice location

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722

Mailing address

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone (606) 528-4481

Other identifiers 1

IdentifierTypeStateIssuer
65936817MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000317 KY Practitioner - Internal Medicine 8921100140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

109 N 3Rd St
Williamsburg, KY 40769-1123
Phone (606) 825-0009

14662 N US Hwy 25 E
Corbin, KY 40701-6425
Phone (606) 526-9005

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Jan 2, 2017 Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

1419 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-4481

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

21154 Highway 421
Ste 1
Hyden, KY 41749

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

Interoperability endpoints

  • Direct secure messaging: dwhitley704587@direct.ochin.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1043215874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012722",
            "telephone_number": "606-528-4481",
            "fax_number": "606-528-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012722",
            "telephone_number": "606-528-4481",
            "fax_number": "606-528-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "DANIEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "23298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936817",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.