Active NPI
John Emmett Whalen, M.D.
- Nephrology Physician
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 19607
- Practice address
- 1500 Delhi St Ste 2100
Dubuque, IA 52001-6319 - Phone
- (563) 557-9111
- Fax
- (563) 589-4046
- NPI assigned
- Mar 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 42286 02 | WI | |
| Nephrology Physician | 207RN0300X | 19607 | IA | Primary |
Addresses
Primary practice location
1500 Delhi St Ste 2100
Dubuque, IA 52001-6319
Mailing address
1515 Delhi St
Ste 100
Dubuque, IA 52001-6320
Phone (563) 557-9111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30409100 | Medicaid | WI | |
| 1122291 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 S 11TH St
Manchester, IA 52057-2245
Phone (563) 589-4835
1500 Delhi St
Suite 2100
Dubuque, IA 52001-6319
Phone (563) 589-4033
1515 Delhi St
Suite 100
Dubuque, IA 52001-6320
Phone (563) 557-9111
190 N Orange St
Suite 1
Richland Center, WI 53581-2163
Phone (563) 589-4835
250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8665
3021 Edenberry St
Fitchburg, WI 53711-6956
Phone (608) 316-5774
350 N Grandview Ave
Dubuque, IA 52001-6388
Phone (563) 557-2829
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
5 Insight Dr
Platteville, WI 53818-3828
Phone (563) 589-4835
5854 Tree Line Dr
Fitchburg, WI 53711-5829
Phone (319) 462-6131
600 14TH Ave N
Clinton, IA 52732-2914
Phone (563) 589-4835
638 S Bluff Blvd
Clinton, IA 52732-4742
Phone (563) 244-5900
Hospital & facility affiliations
- Tri- State Dialysis - Dubuque
- Mercy Medical Center - Clinton
- Tri- State Dialysis - Manchester
- Tri State Dialysis
- Tri State Dialysis
- Finley Hospital
- Regional Medical Center
- Mercyone Clinton Medical Center
- Southwest Health Center
- Lafayette Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19607 | IA | MD | Pharmacist |
| 42286 02 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
600 14th Ave N
Clinton, IA 52732
Phone (563) 244-3884
1500 Delhi St
Ste 2100
Dubuque, IA 52001
Phone (563) 589-4033
1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111
107 S 11th St
Ste 2
Manchester, IA 52057
Phone (563) 589-4835
211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466
5 Insight Dr
Platteville, WI 53818
Phone (563) 589-4835
190 N Orange St
#1
Richland Center, WI 53581
Phone (563) 589-4835
Interoperability endpoints
- john.whalen@grandrivermedicalgroup.eclinicaldirectplus.com
- jwhalen3937642@direct.trinity-health.org
- jwhalen140465@direct.unitypoint.org
Organizations & group practices 3
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
WI
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Clinton, IA
- NPI 1861522336
Dialysis facility
-
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
-
- General Acute Care Hospital
- Dubuque, IA
- NPI 1942392600
-
- Critical Access Hospital
- Darlington, WI
- NPI 1114987054
-
- Medicare Defined Swing Bed Hospital Unit
- Darlington, WI
- NPI 1689787954
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1285694802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 DELHI ST",
"address_2": "STE 100",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016320",
"telephone_number": "563-557-9111",
"fax_number": "563-589-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DELHI ST STE 2100",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016319",
"telephone_number": "563-557-9111",
"fax_number": "563-589-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "JOHN",
"middle_name": "EMMETT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "42286 02",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IA",
"license": "19607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30409100",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1122291",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.