Individual provider Active NPI

Thomas M Whitten, MD

  • Surgery Physician
  • Tipton, IN
National Provider Identifier
1770560989
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01055526 Issued in IN
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000320783OtherINANTHEM
200356650MedicaidIN
Q0089831OtherINSHO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040501000484 IN Practitioner - General Surgery 9234127036 Reassigns benefits to 3 organizations

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
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

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

ProcedureNumber of procedures
Colonoscopy33
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055526INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration in, LLC Vascular Surgery CurrentSince Mar 1, 2016 Accepting new patients
Center for Vein Restoration in, LLC CurrentSince Mar 1, 2016 Accepting new patients
Grace Surgical PC Surgery CurrentSince Aug 1, 2008 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

  • Direct secure messaging: thomas.whitten.1@7598.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.