Individual provider Active NPI

Chris Michael Whelan, M.D.

  • Emergency Medicine Physician
  • Weymouth, MA
National Provider Identifier
1053363317
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
78920 Issued in MA
Practice address
330 Washington Street
Weymouth, MA 02188
Phone
(781) 626-5160
Fax
(781) 803-2645
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 78920 MA Primary

Addresses

Primary practice location

330 Washington Street
Weymouth, MA 02188

Mailing address

330 Washington Street
Weymouth, MA 02188
Phone (781) 626-5160

Other identifiers 2

IdentifierTypeStateIssuer
J19793OtherMABLUE SHIELD
3190340MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000659 MA Practitioner - Emergency Medicine 9830119155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York Downstate Medical Center, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 New State Hwy
Raynham, MA 02767-5446
Phone (781) 280-1683

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Express Care PLLC CurrentSince Jun 23, 2014 Accepting new patients
Massachusetts Express Care PLLC CurrentSince Jun 23, 2014 Accepting new patients
Steward Medical Group, Inc PastSince Jun 23, 2014 Accepting new patients
Cape Cod Emergency Associates LLP Emergency Medicine PastSince Oct 30, 2022 Accepting new patients

Locations

8 Oak Park Dr
Bedford, MA 01730
Phone (781) 280-1527

1207 Washington St
Hanover, MA 02339
Phone (781) 280-1683

106 New State Hwy
Raynham, MA 02767
Phone (781) 626-5500

330 Washington St
Weymouth, MA 02188
Phone (781) 248-8962

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1053363317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON STREET",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188",
            "telephone_number": "781-626-5160",
            "fax_number": "781-803-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON STREET",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188",
            "telephone_number": "781-626-5160",
            "fax_number": "781-803-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "CHRIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "78920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J19793",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190340",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.