Individual provider Active NPI

Scott Jefferson Whetsell, M.D.

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1790045102
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD043670 Issued in DC
Practice address
2112 F St NW Ste 504
Washington, DC 20037-2761
Phone
(202) 274-2864
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD043670 DC
Pediatrics Physician 208000000X MD043670 DC Primary

Addresses

Primary practice location

2112 F St NW Ste 504
Washington, DC 20037-2761

Mailing address

4975 Lacross Rd Ste 153
North Charleston, SC 29406-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20180508001436 DC Practitioner - Addiction MedicinePractitioner - Pediatric Medicine 0547524167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Pediatric Medicine
Education
Meharry Medical College School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Home Development GroupGroup PAC ID 0244468114, 4 clinicians

Practice addresses (Care Compare)

2112 F St NW
Suite 504
Washington, DC 20037-2761
Phone (843) 554-2530

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Speech and Hearing, Inc. CurrentSince Feb 3, 2023 Accepting new patients
Medical Home Development Group Pediatrics CurrentSince Mar 13, 2018 Accepting new patients
Partners in Care Network PastSince Oct 31, 2021 Accepting new patients

Locations

4228 Wisconsin Ave NW
Ste A
Washington, DC 20016
Phone (202) 684-2784

2112 F St NW
Ste 504
Washington, DC 20037
Phone (202) 293-6458

4975 Lacross Rd
Ste 153
North Charleston, SC 29406
Phone (843) 640-3240

4975 Lacross Rd
Ste 151
North Charleston, SC 29406

Interoperability endpoints

  • Direct secure messaging: scottwhetsell.medicalhomedevelopmentgroup@147716.advancedmd-direct.com

Organizations & group practices 3

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1790045102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 153",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372761",
            "telephone_number": "202-274-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSELL",
        "first_name": "SCOTT",
        "middle_name": "JEFFERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "DC",
            "license": "MD043670",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD043670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.