Individual provider Active NPI

Justin T Whisenant, MD

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1164602926
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
FW1856371 Issued in CO
Practice address
6500 38TH Ave N
St Petersburg, FL 33710-1629
Phone
(727) 384-1414
Fax
(727) 345-8075
NPI assigned
Nov 9, 2007
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neuroradiology Physician 2085N0700X 2011015524 MO
Neuroradiology Physician 2085N0700X N4199 TX
Neuroradiology Physician 2085N0700X MD2022-1392 NM
Neuroradiology Physician 2085N0700X ME128898 FL
Diagnostic Radiology Physician 2085R0202X FW1856371 CO Primary
Vascular & Interventional Radiology Physician 2085R0204X ME128898 FL

Addresses

Primary practice location

6500 38TH Ave N
St Petersburg, FL 33710-1629

Mailing address

909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Phone (713) 338-5519

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-3533

Other practice location 2

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Other practice location 3

25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Phone (210) 450-6800

Other identifiers 2

IdentifierTypeStateIssuer
M9519OtherFLFL HF MEDICARE
018604800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CO, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090923000272 TX Practitioner - Diagnostic Radiology 9436205093 Reassigns benefits to 3 organizations
I20161025001815 FL Practitioner - Diagnostic Radiology 9436205093 Reassigns benefits to 5 organizations
I20220818001018 CO Practitioner - Diagnostic Radiology 9436205093
I20240613003581 MO Practitioner - Diagnostic Radiology 9436205093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (352) 726-1551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128898FLMDNeuroradiology Physician
MD2022-1392NMMDNeuroradiology Physician
N4199TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Neuroradiology CurrentSince Feb 15, 2025 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Diagnostic Radiology Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 10, 2024 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology CurrentSince Oct 18, 2021 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology Current Accepting new patients
MHS Physicians of Texas CurrentSince Feb 7, 2022 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Jul 31, 2023 Accepting new patients
MHS Physicians of Texas CurrentSince Feb 7, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 10, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 15, 2013 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Aug 15, 2016 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology Current Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 15, 2013 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Aug 15, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 10, 2024 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Modified Barium Swallow Service, P.a. Diagnostic Radiology Past Accepting new patients

Locations (25 of 38)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

9441 Health Center Dr
Land O Lakes, FL 34637
Phone (813) 903-3700

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

1623 SW 1st Ave
Ocala, FL 34471
Phone (352) 732-9844

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

1000 Johnson Ferry Rd
Ste 1450
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: jwhisenant71780@epicdirect.hf.org

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1164602926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-5519",
            "fax_number": "713-704-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101629",
            "telephone_number": "727-384-1414",
            "fax_number": "727-345-8075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-3533",
            "fax_number": "321-434-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9180 Pinecroft Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803883",
            "country_code": "US",
            "telephone_number": "713-897-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25723 Old Fredericksburg Rd",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780156605",
            "country_code": "US",
            "telephone_number": "210-450-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHISENANT",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2011015524",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "N4199",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NM",
            "license": "MD2022-1392",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME128898",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "FW1856371",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME128898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "M9519",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018604800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.