Individual provider Active NPI

Sarah Phelps Whittaker, D.P.M.

  • Podiatrist
  • Saint Paul, MN
National Provider Identifier
1154566396
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
830 Issued in MN
Practice address
2221 Ford Parkway
Suite #350
Saint Paul, MN 55116-3837
Phone
(651) 698-8879
Fax
(651) 698-7243
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 969-025 WI
Podiatrist 213E00000X 830 MN Primary

Addresses

Primary practice location

2221 Ford Parkway
Suite #350
Saint Paul, MN 55116-3837

Mailing address

2270 Ford Pkwy Ste 104
Saint Paul, MN 55116-3412
Phone (651) 698-8879

Other identifiers 2

IdentifierTypeStateIssuer
0732240001OtherDMERC W/ PREFERRED PODIATRY GROUP
1154566396MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000519 MN Practitioner - Podiatry 6709930894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Foot and Ankle Specialists PCGroup PAC ID 6709937659, 4 clinicians

Practice addresses (Care Compare)

2270 Ford Pkwy
Suite 104
Saint Paul, MN 55116-3837
Phone (651) 698-8879

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue146
Removal of skin lesions23
Removal of nail tissue584
Removal or shaving of skin growth462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
830MNMDPodiatrist
969-025WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Foot and Ankle Specialists, P.C. Podiatrist CurrentSince Sep 7, 2010 Accepting new patients
Northland Foot & Ankle Specialists Podiatrist Current Accepting new patients
Preferred Podiatry Group PC Podiatrist Past Accepting new patients
Aggeus Healthcare, P.C. Podiatrist Past Accepting new patients

Locations

2270 Ford Pkwy
Ste 104
Saint Paul, MN 55116
Phone (651) 698-8879

2221 Ford Pkwy
Ste 350
Saint Paul, MN 55116
Phone (651) 698-8879

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9872/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1154566396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 FORD PKWY STE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163412",
            "telephone_number": "651-698-8879",
            "fax_number": "651-698-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 FORD PARKWAY",
            "address_2": "SUITE #350",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163837",
            "telephone_number": "651-698-8879",
            "fax_number": "651-698-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "SARAH",
        "middle_name": "PHELPS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "969-025",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC W/ PREFERRED PODIATRY GROUP",
            "identifier": "0732240001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154566396",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.