Individual provider Active NPI

John Whitt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
National Provider Identifier
1851702005
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
086773 Issued in IA
Practice address
927 W 4TH St
Waterloo, IA 50702-2801
Phone
(319) 233-6107
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 086773 IA Primary

Addresses

Primary practice location

927 W 4TH St
Waterloo, IA 50702-2801

Mailing address

231 Albert Sabin Way
Cincinnati, OH 45267-0513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524002606 IA Practitioner - Podiatry 3274759170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot Healthcare PLCGroup PAC ID 9537151816, 4 clinicians

Practice addresses (Care Compare)

927 W 4TH St
Waterloo, IA 50702-2801
Phone (319) 233-6107

Hospital & facility affiliations

  • Virginia Gay Hospital Hospital, Vinton, IA, CCN 161349
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue449
Removal of nail tissue635
Removal or shaving of skin growth202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086773IAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Family Foot Health Care PLC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Allen Memorial Hospital Corporation Single Specialty CurrentSince Jul 25, 2017 Accepting new patients
Family Foot Health Care PLC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Allen Memorial Hospital Corporation Single Specialty Current Accepting new patients

Locations

936 Viking Rd
Ste 101
Cedar Falls, IA 50613
Phone (319) 242-8195

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

927 W 4th St
Waterloo, IA 50702
Phone (319) 233-3691

1300 10th Ave SW
Ste B
Waverly, IA 50677
Phone (319) 352-6860

Interoperability endpoints

  • Direct secure messaging: jwhitt519585@direct.unitypoint.org
  • Direct secure messaging: john.whitt.1@27130.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1851702005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022801",
            "telephone_number": "319-233-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "086773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.