NPIMap

Individual provider Active NPI

Christopher James Whitty, M.D., PH.D

  • Neurology Physician
  • Riverview, MI
National Provider Identifier
1457339574
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301078496 Issued in MI
Practice address
17515 Fort St
Riverview, MI 48193-6630
Phone
(734) 225-7770
Fax
(734) 225-7775
NPI assigned
Jan 9, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301078496 MI Primary

Addresses

Primary practice location

17515 Fort St
Riverview, MI 48193-6630

Mailing address

17515 Fort St
Riverview, MI 48193-6630
Phone (734) 225-7770

Other identifiers 2

IdentifierTypeStateIssuer
104754213MedicaidMI
202784777OtherMIFEDERAL TAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000743 MI Practitioner - Neurology 5991734733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17515 Fort St
Riverview, MI 48193-6630
Phone (734) 225-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.01
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Neurology PC Neurology CurrentSince Jul 15, 2005 Accepting new patients

Locations

17515 Fort St
Riverview, MI 48193
Phone (734) 225-7770

Interoperability endpoints

  • Direct secure messaging: cwhitty57733@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFHBA/Endpoint/GDFHBA

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1457339574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936630",
            "telephone_number": "734-225-7770",
            "fax_number": "734-225-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936630",
            "telephone_number": "734-225-7770",
            "fax_number": "734-225-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301078496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104754213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "202784777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.