NPIMap

Individual provider Active NPI

Kenneth John Whipple, DO

  • Anesthesiology Physician
  • Sierra Vista, AZ
National Provider Identifier
1922040807
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
010597 Issued in AZ
Practice address
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone
(520) 263-2000
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 010597 AZ Primary
Anesthesiology Physician 207L00000X 010611 AZ
Anesthesiology Physician 207L00000X 3692 IA

Addresses

Primary practice location

5700 E Highway 90
Sierra Vista, AZ 85635-9110

Mailing address

401 15TH Ave S Ste 109
Great Falls, MT 59405-4334
Phone (406) 727-6311

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other practice location 2

401 15th Ave S Ste 109
Great Falls, MT 59405-4334
Phone (406) 727-6311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AZ, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110407000952 MT Practitioner - AnesthesiologyPractitioner - Pain Management 0345331591 Reassigns benefits to 2 organizations
I20231124000262 AZ Practitioner - Anesthesiology 0345331591 Reassigns benefits to 2 organizations
I20240220000013 FL Practitioner - Anesthesiology 0345331591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Northeastern Anesthesia PLLCGroup PAC ID 4284813940, 83 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-3835

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010597AZMDAnesthesiology Physician
010611AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince May 9, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Feb 7, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Northeastern Anesthesia PLLC Anesthesiology CurrentSince Oct 30, 2025 Accepting new patients
Billings Clinic CurrentSince May 9, 2022 Accepting new patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jul 27, 2024 Accepting new patients
Central Kansas Emergency Physicians Past Accepting new patients
Anesthesia Associates of Great Falls LLC Anesthesiology Past Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2949 10TH Ave N
Billings, MT 59101

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

Organizations & group practices 10

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 12

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1922040807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 15TH AVE S STE 109",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054334",
            "telephone_number": "406-727-6311",
            "fax_number": "406-727-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856359110",
            "telephone_number": "520-263-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 15th Ave S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594054334",
            "country_code": "US",
            "telephone_number": "406-727-6311",
            "fax_number": "406-727-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "010597",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "010611",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "3692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.