Individual provider Active NPI

Daniel E Whitman, MD

  • Gastroenterology Physician
  • Webster, TX
National Provider Identifier
1215064472
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F3379 Issued in TX
Practice address
250 Blossom St
Ste 300
Webster, TX 77598-4204
Phone
(281) 604-1300
Fax
(281) 724-0269
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35.143567 OH
Gastroenterology Physician 207RG0100X F3379 TX Primary

Addresses

Primary practice location

250 Blossom St
Ste 300
Webster, TX 77598-4204

Mailing address

250 Blossom St
Ste 300
Webster, TX 77598-4204
Phone (281) 604-1300

Other practice location 1

10600 Montgomery Rd
Montgomery, OH 45242-4463
Phone (513) 794-5600

Other identifiers 2

IdentifierTypeStateIssuer
4333519OtherTXAETNA
8G9500OtherTXBCBS

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
I20040727000939 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5991775066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3379TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Regional Employee Assistance Program Inc Gastroenterology CurrentSince Jul 1, 2018 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jul 1, 2018 Accepting new patients
Diagnostic Clinic of Houston Past Accepting new patients
Diagnostic Clinic of Houston Lab Past Accepting new patients
Utmb Faculty Group Practice PastSince Feb 1, 2010 Accepting new patients
Conroe-Woodlands Gastroenterology, P.a. Gastroenterology PastSince Jun 7, 2004 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

Interoperability endpoints

  • Direct secure messaging: daniel.whitman.p1@direct.collom-carney.nextgenshare.com
  • Direct secure messaging: dwhitman256147@direct.metrohealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1215064472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST",
            "address_2": "STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984204",
            "telephone_number": "281-604-1300",
            "fax_number": "281-724-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST",
            "address_2": "STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984204",
            "telephone_number": "281-604-1300",
            "fax_number": "281-724-0269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424463",
            "country_code": "US",
            "telephone_number": "513-794-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.143567",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F3379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4333519",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G9500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.