Active NPI
Thomas M Whitten, MD
- Surgery Physician
- Tipton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01055526
- Practice address
- 1060 S Main St Ste 2
Tipton, IN 46072-8327 - Phone
- (765) 675-9889
- Fax
- (888) 544-9037
- NPI assigned
- Dec 29, 2005
- Last updated
- Jan 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01055526 | IN | Primary |
| Vascular Surgery Physician | 2086S0129X | 01055526A | IN | |
| Phlebology Physician | 202K00000X | 01055526A | IN |
Addresses
Primary practice location
1060 S Main St Ste 2
Tipton, IN 46072-8327
Mailing address
1060 S Main St Ste 2
Tipton, IN 46072-8327
Phone (765) 675-9889
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000320783 | Other | IN | ANTHEM |
| 200356650 | Medicaid | IN | |
| Q0089831 | Other | IN | SHO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1331 S a St
Elwood, IN 46036-1942
Phone (765) 608-3668
1500 S B St
Suite 2
Elwood, IN 46036-2082
Phone (765) 552-4899
2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 649-2511
2101 Jackson St
Anderson, IN 46016-4387
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
473 E Greenville Ave
Winchester, IN 47394-9436
Phone (765) 584-0339
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055526 | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Vein Restoration in, LLC | Vascular Surgery | Current | Accepting new patients |
| Center for Vein Restoration in, LLC | Current | Accepting new patients | |
| Grace Surgical PC | Surgery | Current | Accepting new patients |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
1331 S A St
Elwood, IN 46036
Phone (765) 552-4000
1500 S B St
Ste 2
Elwood, IN 46036
Phone (765) 552-4899
6540 Logan Dr
Ste 2
Evansville, IN 47715
Phone (812) 474-1400
33 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 644-6355
1060 S Main St
Ste 2
Tipton, IN 46072
Phone (765) 675-9889
Interoperability endpoints
- thomas.whitten.1@7598.direct.athenahealth.com
- thomas.whittenmd.d1.p3@direct.cvr.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Noblesville, IN
- NPI 1831350701
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Vascular Surgery Physician
- Greenwood, IN
- NPI 1629437397
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hobart, IN
- NPI 1790653897
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Anderson
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
-
dba St. Vincent Mercy Hospital
- Critical Access Hospital
- Elwood, IN
- NPI 1477508596
-
dba Ascension St. Vincent Randolph
- Critical Access Hospital
- Winchester, IN
- NPI 1609826783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1770560989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 S MAIN ST STE 2",
"city": "TIPTON",
"state": "IN",
"postal_code": "460728327",
"telephone_number": "765-675-9889",
"fax_number": "888-544-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 S MAIN ST STE 2",
"city": "TIPTON",
"state": "IN",
"postal_code": "460728327",
"telephone_number": "765-675-9889",
"fax_number": "888-544-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTEN",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01055526",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01055526A",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "IN",
"license": "01055526A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000320783",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200356650",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHO",
"identifier": "Q0089831",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tipton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.