Individual provider Active NPI

Thomas Carlyle Whittaker, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1770600918
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6061605-1205 Issued in UT
Practice address
8TH Ave and C St
Salt Lake City, UT 84143-2822
Phone
(801) 408-5480
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6061605-1205 UT Primary

Addresses

Primary practice location

8TH Ave and C St
Salt Lake City, UT 84143-2822

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

4745 S 3200 W
Salt Lake City, UT 84118-2822
Phone (801) 964-6214

Other names 1

  • Dr. T Carl Whittaker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20070723000543 UT Practitioner - Family Practice 2163523093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

610 S 200
Suite B
Salt Lake City, UT 84111-3802
Phone (801) 539-8617

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-3446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Jul 17, 2007 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 6, 2025 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Jul 17, 2007 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Apr 6, 2025 Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

610 S 200 E
Ste B
Salt Lake City, UT 84111
Phone (801) 539-8617

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

Interoperability endpoints

  • Direct secure messaging: thomas.whittaker@chcsl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 7

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1770600918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVE AND C ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841432822",
            "telephone_number": "801-408-5480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 S 3200 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841182822",
            "country_code": "US",
            "telephone_number": "801-964-6214",
            "fax_number": "801-982-9232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "THOMAS",
        "middle_name": "CARLYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6061605-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T",
            "last_name": "WHITTAKER",
            "middle_name": "CARL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.