Active NPI
Benjamin Michael Whitis, MD
- Neuroradiology Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 43342
- Practice address
- 900 West Clairemont Avenue
Eau Claire, WI 54701 - Phone
- (715) 839-4151
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 43342 | WI | |
| Body Imaging Physician | 2085B0100X | 100950 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 43342 | WI | |
| Nuclear Radiology Physician | 2085N0904X | 100950 | MN | |
| Nuclear Radiology Physician | 2085N0904X | 43342 | WI | |
| Pediatric Radiology Physician | 2085P0229X | 100950 | MN | |
| Pediatric Radiology Physician | 2085P0229X | 43342 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 100950 | MN | |
| Neuroradiology Physician | 2085N0700X | 100950 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 43342 | WI | |
| Radiological Physics Physician | 2085R0205X | 43342 | WI | |
| Diagnostic Ultrasound Physician | 2085U0001X | 100950 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 100950 | MN | |
| Diagnostic Ultrasound Physician | 2085U0001X | 43342 | WI | |
| Neuroradiology Physician | 2085N0700X | 43342 | WI | Primary |
Addresses
Primary practice location
900 West Clairemont Avenue
Eau Claire, WI 54701
Mailing address
2715 West Frank Street
Eau Claire, WI 54703
Phone (715) 834-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tomah Memorial Hospital Inc
Practice addresses (Care Compare)
1024 N Main St
Rice Lake, WI 54868-1236
Phone (715) 234-8151
1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-5500
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 858-1777
Hospital & facility affiliations
- Spooner Health System
- Cumberland Memorial Hospital
- Winona Health Services
- Burnett Medical Center
- Aspirus Stanley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43342 | WI | MD | Radiological Physics Physician |
| 100950 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black River Health Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiology Associates of Wisconsin SC | Diagnostic Radiology | Current | Accepting new patients |
| Medical X-Ray Consultants, LTD | Body Imaging | Current | Accepting new patients |
| Black River Health Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Wisconsin Radiology Specialists, S C | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Medical Xray Consultants, LTD | Past | Accepting new patients |
Locations (25 of 33)
1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130
3119 Woodman Dr
Altoona, WI 54720
Phone (715) 514-2550
610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
2661 County Highway I
Chippewa Fls, WI 54729
Phone (715) 717-7200
1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
1720 Harding Ave
Ste 1
Eau Claire, WI 54701
Phone (715) 461-0463
617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353
305 E 12th St
Kaukauna, WI 54130
Phone (920) 731-3111
N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001
12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
4935 S 76th St
Milwaukee, WI 53220
Phone (414) 567-3211
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
Interoperability endpoints
- bwhitis635975@direct.emplifyhealth.org
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Rice Lake, WI
- NPI 1326116781
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Body Imaging, WI
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Critical Access Hospital
- Tomah, WI
- NPI 1184765240
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
- Specialist
- Mequon, WI
- NPI 1568446003
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Auburn, WA
- NPI 1861872178
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
Hospital
-
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- Critical Access Hospital
- Grantsburg, WI
- NPI 1225191687
-
- Critical Access Hospital
- Cumberland, WI
- NPI 1831243757
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1487600367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 WEST FRANK STREET",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54703",
"telephone_number": "715-834-5511",
"fax_number": "715-834-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WEST CLAIREMONT AVENUE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54701",
"telephone_number": "715-839-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITIS",
"first_name": "BENJAMIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MN",
"license": "100950",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "WI",
"license": "43342",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "WI",
"license": "43342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.