NPIMap

Individual provider Active NPI

Monroe Calvin Whitman III, M.D.

  • Surgery Physician
  • Arlington, WA
National Provider Identifier
1346248861
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19326 Issued in ND
Practice address
875 Wesley St
Suite 230
Arlington, WA 98223-1613
Phone
(360) 435-6097
Fax
(360) 435-1871
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00026616 WA
Surgery Physician 208600000X 19326 ND Primary

Addresses

Primary practice location

875 Wesley St
Suite 230
Arlington, WA 98223-1613

Mailing address

875 Wesley St
Suite 230
Arlington, WA 98223-1613
Phone (360) 435-6097

Other identifiers 1

IdentifierTypeStateIssuer
8202640MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101130001230 WA Practitioner - General Surgery 0143416354 Reassigns benefits to 1 organization
I20230403001004 ND Practitioner - General Surgery 0143416354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19326NDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Jan 25, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 4, 2019 Accepting new patients
Lutheran Charity Association CurrentSince Jan 26, 2024 Accepting new patients
Lutheran Charity Association CurrentSince Jan 26, 2024 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 4, 2019 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St. Joseph'S Hospital and Health Center Surgery CurrentSince Jan 25, 2023 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Clallam County Public Hospital District No 1 Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

875 Wesley St
Ste 230
Arlington, WA 98223
Phone (206) 435-6097

875 Wesley St
Ste 130
Arlington, WA 98223
Phone (360) 435-6525

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/

Organizations & group practices 11

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1346248861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST",
            "address_2": "SUITE 230",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231613",
            "telephone_number": "360-435-6097",
            "fax_number": "360-435-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST",
            "address_2": "SUITE 230",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231613",
            "telephone_number": "360-435-6097",
            "fax_number": "360-435-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "MONROE",
        "middle_name": "CALVIN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00026616",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "19326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8202640",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.