Charles Roy Whitfill, M. D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-31260 Issued in KS

Practice address

655 N Woodlawn St
Wichita, KS 67208

Phone

(316) 684-5158

Fax

(316) 681-1005

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Ophthalmology

Education

University of Oklahoma College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grene Vision Group LLCGroup PAC ID 1254324023, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

99.11

Improvement activities

40

Cost

69.26

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.whitfill.p1@direct.gvg.nextgenshare.com

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.

• Grene Vision Group LLC

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1285627562
  Medicare reassignment Care Compare group NPD
• Grene Vision Group LLC

  • Optometrist
  • Wichita, KS
  • NPI 1598215006

  Ophthalmology

  NPD
• Grene Vision Group LLC

  • Optometrist
  • Fredonia, KS
  • NPI 1891907622

  Ophthalmology

  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1528061587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-691-4449",
            "fax_number": "316-691-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-684-5158",
            "fax_number": "316-681-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFILL",
        "first_name": "CHARLES",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-31260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200316860A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045575001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "87403K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa White
• Christine Rene Whitehead, PA-C
• John R Whitehead, D.O.
• Chelsea L Whitetree, PA-C
• Victoria Whitetree, LSCSW
• Demetria Whiting, RN, MSN, CRRN
• Gary R Whiting, PA
• Leah Diane Whitis, MD, MLS (ASCP)CM
• Christina S Whitley, PSY.D.
• Venisha Whitley

• Ophthalmology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.

Verify at the official NPI Registry.