Timothy Whiteus, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301406556 Issued in MI

Practice address

13134 Broadstreet Ave
Detroit, MI 48238-3252

Phone

(313) 629-5140

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Network Marketing Group LLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1184987638
  NPD (past) Authorized official
• Comprehensive Health Access Resource of Michigan

  • Medical Specialty Clinic/Center
  • Southfield, MI
  • NPI 1649502279
  NPD (past)
• Greater Detroit Community Care

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
  • NPI 1770520553
  NPD (past)
• Mitchell Healthcare Associates

  dba Kenneth Mitchell

  • Foot & Ankle Surgery Podiatrist
  • Detroit, MI
  • NPI 1669462602
  NPD (past)
• Primary Care Home Services, Inc

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1871852533
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1174543342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351127",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482356027",
            "telephone_number": "313-629-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13134 BROADSTREET AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383252",
            "telephone_number": "313-629-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEUS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104632631",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Nicole Whiteside, LLMSW
• Gabriele Aberina Whiteside
• Kristen Whiteside
• Shondanique Whiteside
• Tresna Lynn Whiteside
• Chontel Lashawn Whitfield, RN
• Rosalind Whitfield
• Tierra Whitfield
• Toya Whitfield
• Coree Rene Whitley

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.

Verify at the official NPI Registry.