Individual provider Active NPI

John Emmett Whalen, M.D.

  • Nephrology Physician
  • Dubuque, IA
National Provider Identifier
1285694802
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19607 Issued in IA
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

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30409100MedicaidWI
1122291MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050415000286 IA Practitioner - Nephrology 3678481587 Reassigns benefits to 1 organization
I20101007000531 WI Practitioner - Nephrology 3678481587 Reassigns benefits to 2 organizations

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
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

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 Dialysis facility, Dubuque, IA, CCN 162500
  • Mercy Medical Center - Clinton Dialysis facility, Clinton, IA, CCN 162313
  • Tri- State Dialysis - Manchester Dialysis facility, Manchester, IA, CCN 162511
  • Tri State Dialysis Dialysis facility, Platteville, WI, CCN 522534
  • Tri State Dialysis Dialysis facility, Richland Center, WI, CCN 522620
  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Southwest Health Center Hospital, Platteville, WI, CCN 521354
  • Lafayette Hospital and Clinics Hospital, Darlington, WI, CCN 521312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19607IAMDPharmacist
42286 02WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince May 4, 2025 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

  • Direct secure messaging: john.whalen@grandrivermedicalgroup.eclinicaldirectplus.com
  • Direct secure messaging: jwhalen3937642@direct.trinity-health.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.