Individual provider Active NPI

Mark Emory Whitley, M.D.

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1700840055
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19227 Issued in OK
Practice address
3600 NW 138TH St
Suite 102
Oklahoma City, OK 73134-2503
Phone
(405) 286-4114
Fax
(405) 463-0154
NPI assigned
Apr 13, 2006
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19227 OK Primary

Addresses

Primary practice location

3600 NW 138TH St
Suite 102
Oklahoma City, OK 73134-2503

Mailing address

3600 NW 138TH St
Suite 102
Oklahoma City, OK 73134-2503
Phone (405) 286-4114

Other identifiers 1

IdentifierTypeStateIssuer
100143910AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051111000164 OK Practitioner - Diagnostic Radiology 3870482185 Reassigns benefits to 3 organizations
I20071022000740 TX Practitioner - Diagnostic Radiology 3870482185 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
North Star MRI LPGroup PAC ID 5890762330, 54 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

13721 Sprucewood Dr
Dallas, TX 75240-3634
Phone (281) 870-4592

2 Navasota Cir
Wichita Falls, TX 76309-1420
Phone (469) 771-7836

3100 SW 89TH St
Community Hospital
Oklahoma City, OK 73159-7900
Phone (405) 286-4114

9301 N Central Expy
Dallas, TX 75231-0802
Phone (405) 286-4114

997 Raintree Cir
Suite 110
Allen, TX 75013-4952
Phone (972) 954-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19227OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI LP CurrentSince Jul 1, 2023 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Jun 8, 2020 Accepting new patients
Screening for Life LLC CurrentSince Mar 8, 2013 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jul 1, 2023 Accepting new patients
North Star NPT LP CurrentSince Jul 1, 2023 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital CurrentSince Aug 28, 2017 Accepting new patients
North Star GV, LP CurrentSince Jul 6, 2023 Accepting new patients
Grady Memorial Hospital CurrentSince Aug 28, 2017 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology Past Accepting new patients
Ctca Physicans Group of Oklahoma, Inc Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
North Star FM, LP Past Accepting new patients
Yukon Medical Imaging LLC Past Accepting new patients
Community Hospital LLC Diagnostic Radiology Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients
Fidelis Radiology, Inc. Diagnostic Radiology PastSince Nov 1, 2005 Accepting new patients
Southwestern Radiology Affiliates, LLC Diagnostic Radiology Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 692-6220

8501 Wade Blvd
#220N
Frisco, TX 75034

6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1700840055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NW 138TH ST",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342503",
            "telephone_number": "405-286-4114",
            "fax_number": "405-463-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW 138TH ST",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342503",
            "telephone_number": "405-286-4114",
            "fax_number": "405-463-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "MARK",
        "middle_name": "EMORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "19227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.