Individual provider Active NPI

Jason George Whalen, M.D.

  • Dermatology Physician
  • Bridgeville, PA
National Provider Identifier
1376501056
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD428164 Issued in PA
Practice address
160 Millers Run Rd Ste 500
Bridgeville, PA 15017-1358
Phone
(412) 564-5444
Fax
(412) 564-5478
NPI assigned
May 3, 2006
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD428164 PA Primary

Addresses

Primary practice location

160 Millers Run Rd Ste 500
Bridgeville, PA 15017-1358

Mailing address

160 Millers Run Rd Ste 500
Bridgeville, PA 15017-1358
Phone (412) 564-5444

Other identifiers 1

IdentifierTypeStateIssuer
MD428164OtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 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
I20060426000211 PA Practitioner - Dermatology 9436169257 Reassigns benefits to 1 organization
I20260504007097 SC Practitioner - Dermatology 9436169257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whalen Dermatology of Pittsburgh PCGroup PAC ID 9133552615, 3 clinicians

Practice addresses (Care Compare)

160 Millers Run Rd
Suite 500
Bridgeville, PA 15017-1358
Phone (412) 973-0457

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1106
Removal of nail tissue1-10
Removal or shaving of skin growth264
Skin biopsy185

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whalen Dermatology of Pittsburgh PC Dermatology CurrentSince Oct 1, 2019 Accepting new patients

Locations

160 Millers Run Rd
Bridgeville, PA 15017
Phone (412) 440-0270

160 Millers Run Rd
Ste 500
Bridgeville, PA 15017
Phone (412) 564-5444

Interoperability endpoints

  • Direct secure messaging: jasonwhalen@whalenderm.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1376501056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MILLERS RUN RD STE 500",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171358",
            "telephone_number": "412-564-5444",
            "fax_number": "412-564-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MILLERS RUN RD STE 500",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171358",
            "telephone_number": "412-564-5444",
            "fax_number": "412-564-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "JASON",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD428164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD428164",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.