Individual provider Active NPI

Dawn R. Whelchel, M.D.

  • Internal Medicine Physician
  • Marshall, TX
National Provider Identifier
1194726299
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L0690 Issued in TX
Practice address
401 E Pinecrest Dr
Marshall, TX 75670-7207
Phone
(903) 935-7101
Fax
(903) 935-7043
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L0690 TX Primary

Addresses

Primary practice location

401 E Pinecrest Dr
Marshall, TX 75670-7207

Mailing address

401 E. Pinecrest Dr
Marshall, TX 75670-7207
Phone (903) 935-7101

Other identifiers 1

IdentifierTypeStateIssuer
044765801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000598 TX Practitioner - Internal MedicinePractitioner - Family Practice 8527090299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 E Pinecrest Dr
Marshall, TX 75670-7207
Phone (903) 935-7101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whelchel Primary Care Medicine PA Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Rosebud I Enterprises, LLC Past Accepting new patients

Locations

401 E Pinecrest Dr
Marshall, TX 75670
Phone (903) 935-7101

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.

Hospital & facility affiliations 7

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1194726299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E. PINECREST DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756707207",
            "telephone_number": "903-935-7101",
            "fax_number": "903-935-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PINECREST DR",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756707207",
            "telephone_number": "903-935-7101",
            "fax_number": "903-935-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELCHEL",
        "first_name": "DAWN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044765801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.