Individual provider Active NPI

Benjamin Michael Whitis, MD

  • Neuroradiology Physician
  • Eau Claire, WI
National Provider Identifier
1487600367
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
43342 Issued in WI
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

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040223000835 MN Practitioner - Diagnostic Radiology 7517853013 Reassigns benefits to 1 organization
I20051013000490 WI Practitioner - Diagnostic Radiology 7517853013 Reassigns benefits to 7 organizations
I20240730002237 WA Practitioner - Diagnostic Radiology 7517853013 Reassigns benefits to 1 organization

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
Diagnostic Radiology Associates of Wisconsin SCGroup PAC ID 5799752192, 5 clinicians
Medical X-Ray Consultants LTDGroup PAC ID 3274447313, 38 clinicians
Tomah Memorial Hospital IncGroup PAC ID 6901897016, shared by 4 NPIs, 54 clinicians

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 Hospital, Spooner, WI, CCN 521332
  • Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353
  • Winona Health Services Hospital, Winona, MN, CCN 240044
  • Burnett Medical Center Hospital, Grantsburg, WI, CCN 521331
  • Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43342WIMDRadiological Physics Physician
100950MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Dec 30, 2024 Accepting new patients
Multicare Health System CurrentSince Jul 3, 2024 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Oct 30, 2010 Accepting new patients
Diagnostic Radiology Associates of Wisconsin SC Diagnostic Radiology CurrentSince Jan 21, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Body Imaging CurrentSince Jul 15, 2001 Accepting new patients
Black River Health Inc CurrentSince Dec 30, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 30, 2010 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Apr 7, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Apr 7, 2025 Accepting new patients
Multicare Health System CurrentSince Jul 3, 2024 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.