Individual provider Active NPI

Alison J Whelan, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1487670709
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R3N52 Issued in MO
Practice address
4921 Parkview PL
5TH Floor Suite C
Saint Louis, MO 63110-1032
Phone
(314) 362-7601
Fax
(314) 362-7641
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R3N52 MO Primary

Addresses

Primary practice location

4921 Parkview PL
5TH Floor Suite C
Saint Louis, MO 63110-1032

Mailing address

660 S Euclid Ave
C B 8045
Saint Louis, MO 63110-1010
Phone (314) 362-7601

Other identifiers 1

IdentifierTypeStateIssuer
128010381MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001500 MO Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 5294851176 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3N52MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Sep 24, 2010 Accepting new patients

Locations

660 S Euclid Ave
#8015
Saint Louis, MO 63110
Phone (314) 286-1018

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

660 S Euclid Ave
#C
Saint Louis, MO 63110

660 S Euclid Ave
#8116
Saint Louis, MO 63110
Phone (314) 454-6005

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

4921 Parkview Pl
Fl 5
Saint Louis, MO 63110
Phone (314) 286-2635

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1487670709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8045",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-7601",
            "fax_number": "314-362-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "5TH FLOOR SUITE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-7601",
            "fax_number": "314-362-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "ALISON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R3N52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128010381",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.