Active NPI
Benjamin M Whittam, MD
- Pediatric Urology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 01069666A
- Practice address
- 705 Riley Hospital Drive
Ste 4230
Indianapolis, IN 46202 - Phone
- (317) 944-8896
- Fax
- (317) 274-7481
- NPI assigned
- Jan 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01069666A | IN | |
| Pediatric Urology Physician | 2088P0231X | 01069666A | IN | Primary |
Addresses
Primary practice location
705 Riley Hospital Drive
Ste 4230
Indianapolis, IN 46202
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000765563 | Other | IN | ANTHEM PIN |
| 201052820 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bwhittam@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Urologists, Inc., PC | Urology | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Urology | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Urology | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group Riley Specialists, LLC | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
7614 Solutions Ctr
Chicago, IL 60677
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
415 E Cook Rd
Fort Wayne, IN 46825
Phone (260) 234-5300
705 Riley Hospital Dr
Fl 1
Indianapolis, IN 46202
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
535 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-2524
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
705 Riley Hospital Dr
Ste 1245
Indianapolis, IN 46202
Phone (317) 948-2550
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
705 Riley Hospital Dr
Ste 4230
Indianapolis, IN 46202
Phone (317) 948-8556
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
4133 Gateway Blvd
Ste 220
Newburgh, IN 47630
Phone (812) 426-9459
Interoperability endpoints
- bwhittam15062@direct.eskenazihealth.edu
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1699561480
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Urology Physician
- Indianapolis, IN
- NPI 1104877141
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1508913328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DRIVE",
"address_2": "STE 4230",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-944-8896",
"fax_number": "317-274-7481"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTAM",
"first_name": "BENJAMIN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01069666A",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "IN",
"license": "01069666A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000765563",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201052820",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bwhittam@direct.iuhealth.org",
"affiliation": "N",
"address_1": "705 Riley Hospital Drive",
"address_2": "STE 4230",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.