Individual provider Active NPI

Jeffrey Whitman, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1669401162
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F7301 Issued in TX
Practice address
11442 N. Central Expressway
Dallas, TX 75243
Phone
(214) 754-0000
Fax
(972) 379-1849
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F7301 TX Primary

Addresses

Primary practice location

11442 N. Central Expressway
Dallas, TX 75243

Mailing address

11442 N. Central Expressway
Dallas, TX 75243
Phone (214) 754-0000

Other identifiers 1

IdentifierTypeStateIssuer
101245202MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwhitman@keywhitman.imwdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080829000513 TX Practitioner - Ophthalmology 6103922356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

11442 N Central Expy
Key Whitman Eye Center
Dallas, TX 75243-6602
Phone (214) 754-0000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7301TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Ophthalmology Current Accepting new patients
JW Eye Associates, PLLC Ophthalmology CurrentSince Sep 1, 1980 Accepting new patients
JW Eye Associates, PLLC Ophthalmology Past Accepting new patients
PRG Dallas ASC, LLC PastSince Jul 1, 1999 Accepting new patients
AIDS Arms, Inc. Past Accepting new patients
JW Eye Associates, PLLC Ophthalmology Past Accepting new patients
JW Eye Associates, PLLC Ophthalmology Past Accepting new patients
JW Eye Associates, PLLC Ophthalmology Past Accepting new patients

Locations

915 W Exchange Pkwy
Ste 160
Allen, TX 75013
Phone (214) 315-3552

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

Interoperability endpoints

  • Direct secure messaging: jwhitman@kwec.intellechartdirect.net

Organizations & group practices 8

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1669401162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-754-0000",
            "fax_number": "972-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-754-0000",
            "fax_number": "972-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F7301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101245202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhitman@keywhitman.imwdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11442 N. Central Expressway",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.