Active NPI
John W Whelan, M.D.
- Internal Medicine Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 96-01523
- Practice address
- 4205 Ben Franklin Blvd
Durham, NC 27704-2143 - Phone
- (919) 477-6900
- Fax
- (919) 477-5081
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 96-01523 | NC | |
| Internal Medicine Physician | 207R00000X | 96-01523 | NC | Primary |
Addresses
Primary practice location
4205 Ben Franklin Blvd
Durham, NC 27704-2143
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (919) 477-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986740 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
10010 Falls of Neuse Rd
Raleigh, NC 27614-8494
Phone (919) 848-9451
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-01523 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Wake Specialty Physicians LLC | Current | Accepting new patients |
Locations
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
2406 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 539-3796
Interoperability endpoints
- jwhelan135061@directhisp.wakemed.org
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Home Health Agency
- Raleigh, NC
- NPI 1467435842
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1932202116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "919-477-6900",
"fax_number": "919-477-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 BEN FRANKLIN BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042143",
"telephone_number": "919-477-6900",
"fax_number": "919-477-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "JOHN",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "96-01523",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "96-01523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986740",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.