Active NPI
James A Whitaker, MD
- Gastroenterology Physician
- Wichita, KS
National Provider Identifier
1124028931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 04-15802
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100080720C | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-15802 | KS | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Gastroenterology LLC | Gastroenterology | Past | Accepting new patients |
| Kansas Endoscopy LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1538153887
-
- Gastroenterology Physician
- Wichita, KS
- NPI 1477547727
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.