Individual provider Active NPI

James A Whitaker, MD

  • Gastroenterology Physician
  • Wichita, KS
National Provider Identifier
1124028931
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04-15802 Issued in KS
Practice address
848 N Saint Francis St
Suite 2945
Wichita, KS 67214-3800
Phone
(316) 261-3130
Fax
(316) 261-3275
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04-15802 KS Primary

Addresses

Primary practice location

848 N Saint Francis St
Suite 2945
Wichita, KS 67214-3800

Mailing address

PO Box 47572
Wichita, KS 67201-7572
Phone (316) 261-3130

Other identifiers 1

IdentifierTypeStateIssuer
100080720CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-15802KSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Gastroenterology LLC Gastroenterology PastSince Jan 1, 2004 Accepting new patients
Kansas Endoscopy LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://e38455df-8137-43ad-9077-b36c0bc0745d.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1124028931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47572",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017572",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N SAINT FRANCIS ST",
            "address_2": "SUITE 2945",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143800",
            "telephone_number": "316-261-3130",
            "fax_number": "316-261-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-15802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080720C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.