Individual provider Active NPI

Thomas Patrick Whelan, M.D..

  • Gastroenterology Physician
  • Bethel, CT
National Provider Identifier
1720043227
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
029121 Issued in CT
Practice address
2 Elizabeth St
Bethel, CT 06801-2100
Phone
(203) 791-2221
Fax
(203) 791-0682
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 029121 CT Primary

Addresses

Primary practice location

2 Elizabeth St
Bethel, CT 06801-2100

Mailing address

2 Elizabeth St
Bethel, CT 06801-2100
Phone (203) 791-2221

Other identifiers 1

IdentifierTypeStateIssuer
001291210MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100831000933 CT Practitioner - GastroenterologyPractitioner - Internal Medicine 4385768191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Vermont College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029121CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Square Internal Medicine PC Gastroenterology CurrentSince Nov 1, 2012 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Gastroenterology CurrentSince Sep 6, 2022 Accepting new patients
Prohealth Physicians PC Gastroenterology CurrentSince Nov 1, 2012 Accepting new patients
Yale University PastSince Sep 6, 2022 Accepting new patients

Locations

2 Elizabeth St
Unit 111
Bethel, CT 06801

2 Elizabeth St
Bethel, CT 06801
Phone (203) 791-2221

2 Elizabeth St
#111
Bethel, CT 06801
Phone (203) 791-2221

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 4

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 2

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1720043227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-791-2221",
            "fax_number": "203-791-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "credential": "M.D..",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "029121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001291210",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.