Active NPI
Sarah Phelps Whittaker, D.P.M.
- Podiatrist
- Saint Paul, MN
National Provider Identifier
1154566396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 830
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0732240001 | Other | DMERC W/ PREFERRED PODIATRY GROUP | |
| 1154566396 | Medicaid | WI |
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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 146 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 584 |
| Removal or shaving of skin growth | 462 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830 | MN | MD | Podiatrist |
| 969-025 | WI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Foot and Ankle Specialists, P.C. | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Saint Paul, MN
- NPI 1760618011
-
- Podiatrist
- Chicago, IL
- NPI 1033156955
-
- Podiatrist
- Oak Harbor, WA
- NPI 1720037138
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.