Active NPI
David Lee Whitt, M.D.
- Otolaryngology Physician
- Texarkana, TX
National Provider Identifier
1912901570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- F2111
- Practice address
- 4214 Texas Blvd
Texarkana, TX 75503-3013 - Phone
- (903) 793-0691
- Fax
- (903) 794-2046
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | F2111 | TX | |
| Otolaryngology Physician | 207Y00000X | F2111 | TX | Primary |
Addresses
Primary practice location
4214 Texas Blvd
Texarkana, TX 75503-3013
Mailing address
4214 Texas Blvd
Texarkana, TX 75503-3013
Phone (903) 793-0691
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0899270-01 | Medicaid | TX | |
| 107726001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101115000948 | TX | Practitioner - Otolaryngology | 5698865293 | Reassigns benefits to 1 organization |
| I20140421000026 | AR | Practitioner - Otolaryngology | 5698865293 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Southwestern Medical School at Dallas, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4214 Texas Blvd
Texarkana, TX 75503-3013
Phone (903) 793-0691
Hospital & facility affiliations
- Christus St Michael Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2111 | TX | MD | Allergy Physician |
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.
-
- Otolaryngology Physician
- Texarkana, TX
- NPI 1508991969
TX
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": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1912901570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 TEXAS BLVD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033013",
"telephone_number": "903-793-0691",
"fax_number": "903-794-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 TEXAS BLVD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033013",
"telephone_number": "903-793-0691",
"fax_number": "903-794-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITT",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "F2111",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "F2111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0899270-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107726001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.