NPIMap

Individual provider Active NPI

Charis Whitney, M.D.

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1568876597
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
TRN28176 Issued in FL
Practice address
3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone
(602) 997-0484
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD461939 PA
Student in an Organized Health Care Education/Training Program 390200000X TRN28176 FL
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X TRN28176 FL Primary

Addresses

Primary practice location

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396

Mailing address

10 W Minnezona Ave
Phoenix, AZ 85013-4933
Phone (215) 738-0786

Other identifiers 1

IdentifierTypeStateIssuer
103332830MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170825002435 PA Practitioner - HospitalistPractitioner - Internal Medicine 0446477004 Reassigns benefits to 1 organization
I20210909002512 AZ Practitioner - Nephrology 0446477004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

3320 N 2ND St
Phoenix, AZ 85012-2319
Phone (602) 200-8288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461939PAMDInternal Medicine Physician
TRN28176FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc Surgery Center, LLC Single Specialty Current Accepting new patients
Akdhc, LLC Single Specialty CurrentSince Sep 2, 2021 Accepting new patients
Akdhc, LLC Single Specialty CurrentSince Sep 2, 2021 Accepting new patients
Pinnacle Health Hospitalist Services LLC Single Specialty CurrentSince Jul 24, 2017 Accepting new patients
Akdhc, LLC Single Specialty Past Accepting new patients

Locations

2771 Silver Creek Rd
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7722

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

3330 N 2nd St
Ste 206
Phoenix, AZ 85012
Phone (602) 279-7871

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

3320 N 2nd St
Ste 206
Phoenix, AZ 85012

4620 N 16th St
Ste 200
Phoenix, AZ 85016
Phone (480) 616-2822

10615 W Thunderbird Blvd
Ste 155
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste C100
Sun City, AZ 85351
Phone (623) 974-1763

1704 W Anklam Rd
Ste 107
Tucson, AZ 85745
Phone (502) 622-5912

500 Indiana Ave
Winslow, AZ 86047

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Interoperability endpoints

  • Direct secure messaging: cwhitney247341@direct.valleywisehealth.org
  • Direct secure messaging: charis.whitney.1@11625.direct.athenahealth.com

Organizations & group practices 5

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1568876597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MINNEZONA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134933",
            "telephone_number": "215-738-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-997-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "CHARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD461939",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN28176",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "TRN28176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103332830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.