Individual provider Active NPI

Penniann Whitten, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1871563197
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33671 Issued in AZ
Practice address
13838 S 46TH PL
Ste 125
Phoenix, AZ 85044-7800
Phone
(480) 783-7000
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 33671 AZ Primary

Addresses

Primary practice location

13838 S 46TH PL
Ste 125
Phoenix, AZ 85044-7800

Mailing address

4635 N 22ND St
Unit 118
Phoenix, AZ 85016-4643
Phone (480) 783-7000

Other identifiers 1

IdentifierTypeStateIssuer
943953MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050624000694 AZ Practitioner - Family Practice 1951346451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring for Families PCGroup PAC ID 8123007994, 2 clinicians

Practice addresses (Care Compare)

13838 S 46TH PL
Suite 125
Phoenix, AZ 85044-7802
Phone (480) 783-7000

13838 S 46TH Place
Suite 125
Phoenix, AZ 85044-7802

Merit-based Incentive Payment System (MIPS)

Final score
84.99 of 100Reported as group
Quality
78.64
Promoting interoperability
100
Improvement activities
40
Cost
71.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring for Families PC Family Medicine CurrentSince Jul 15, 2005 Accepting new patients

Locations

13838 S 46th Pl
Ste 125
Phoenix, AZ 85044
Phone (480) 783-7000

Organizations & group practices 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1871563197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 N 22ND ST",
            "address_2": "UNIT 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164643",
            "telephone_number": "480-783-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL",
            "address_2": "STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447800",
            "telephone_number": "480-783-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "PENNIANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943953",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.