Active NPI
Tim Whetsel, MD
- Internal Medicine Physician
- Valparaiso, IN
National Provider Identifier
1306910344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01035128
- Practice address
- 814 Laporte Ave
Valparaiso, IN 46383-5860 - Phone
- (219) 263-4600
- Fax
- (219) 738-6714
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01035128 | IN | Primary |
Addresses
Primary practice location
814 Laporte Ave
Valparaiso, IN 46383-5860
Mailing address
55 E 86TH Ave
PO Box 10645
Merrillville, IN 46410-6382
Phone (219) 769-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1306910344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E 86TH AVE",
"address_2": "PO BOX 10645",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106382",
"telephone_number": "219-769-1670",
"fax_number": "219-738-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 LAPORTE AVE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463835860",
"telephone_number": "219-263-4600",
"fax_number": "219-738-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHETSEL",
"first_name": "TIM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01035128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.