NPIMap

Individual provider Active NPI

Mark Camden Whitaker, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wichita, KS
National Provider Identifier
1811979271
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
0428407 Issued in KS
Practice address
10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106
Phone
(316) 219-8299
Fax
(316) 219-5899
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 0428407 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106

Mailing address

10100 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4106
Phone (316) 219-8299

Other identifiers 1

IdentifierTypeStateIssuer
200265940AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001226 KS Practitioner - Orthopedic Surgery 1355317165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Joint and Spine Specialists LLCGroup PAC ID 3678550027, 17 clinicians
Novacare Outpatient Rehabilitation IncGroup PAC ID 8123939246, 34 clinicians

Practice addresses (Care Compare)

10100 E Shannon Woods Cir
Suite 100
Wichita, KS 67226-4106
Phone (316) 219-8299

1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877

Hospital & facility affiliations

  • Kansas Surgery & Recovery Center Hospital, Wichita, KS, CCN 170183
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
  • NMC Health Hospital, Newton, KS, CCN 170103
  • William Newton Hospital Hospital, Winfield, KS, CCN 171383
  • Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Merit-based Incentive Payment System (MIPS)

Final score
22.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion311
Laminectomy or laminotomy (partial removal of spine bones)75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Joint & Spine Specialists, LLC CurrentSince May 6, 2013 Accepting new patients
Kansas Joint & Spine Specialists, LLC Orthopaedic Surgery of the Spine CurrentSince May 6, 2013 Accepting new patients

Locations

10100 E Shannon Woods Cir
Ste 100
Wichita, KS 67226

Interoperability endpoints

  • Direct secure messaging: camden.whitaker@khindirect.org
  • Direct secure messaging: mark.whitaker.1@30078.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.22%) Dec 18, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 7

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1811979271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299",
            "fax_number": "855-587-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-219-8299",
            "fax_number": "316-219-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "MARK",
        "middle_name": "CAMDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "0428407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200265940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.