Individual provider Active NPI

Benjamin M Whittam, MD

  • Pediatric Urology Physician
  • Indianapolis, IN
National Provider Identifier
1508913328
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
01069666A Issued in IN
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

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000765563OtherINANTHEM PIN
201052820MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000026 IN Practitioner - Urology 1052576618 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Iu Health Medical Group Riley Specialists LLCGroup PAC ID 9638669815, 285 clinicians

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 Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Urologists, Inc., PC Urology CurrentSince Jul 1, 2012 Accepting new patients
University Family Physicians, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Deaconess Clinic Inc. Urology Current Accepting new patients
Iu Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Deaconess Clinic, Inc Urology CurrentSince Dec 26, 2017 Accepting new patients
University Family Physicians, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Iu Health Medical Group Riley Specialists, LLC CurrentSince Jan 1, 2026 Accepting new patients
Deaconess Clinic Inc CurrentSince Dec 26, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.