Active NPI
Thomas J Whalen, DO
- Rheumatology Physician
- Havertown, PA
National Provider Identifier
1164587697
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OS004351L
- Practice address
- 117 N Eagle Rd
Havertown, PA 19083-3435 - Phone
- (610) 446-4409
- Fax
- (610) 446-4151
- NPI assigned
- Dec 26, 2006
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | OS004351L | PA | Primary |
Addresses
Primary practice location
117 N Eagle Rd
Havertown, PA 19083-3435
Mailing address
117 N Eagle Rd
Havertown, PA 19083-3435
Phone (610) 446-4409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232669309 | Other | PA | TAX ID |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Medical Care LLC | Current | Accepting new patients | |
| Pain Management Solutions P.C. | Rheumatology | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Downingtown, PA
- NPI 1932968955
-
- Rheumatology Physician
- Havertown, PA
- NPI 1235428970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1164587697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N EAGLE RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833435",
"telephone_number": "610-446-4409",
"fax_number": "610-446-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N EAGLE RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833435",
"telephone_number": "610-446-4409",
"fax_number": "610-446-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "OS004351L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "232669309",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.