DR. CLYDE WHITING M.D.
NPI 1073883203
Family Medicine - Sports Medicine in Chicago, IL

Q: What is Clyde Whiting's NPI number?

The NPI number for Clyde Whiting is 1073883203. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Q: What is Clyde Whiting's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Whiting was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2012PECOS Enrolled

1501 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 257-6097 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Clyde Whiting M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLYDE WHITING M.D. (NPI 1073883203) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036129320) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073883203

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. CLYDE WHITINGCredential: M.D.

Location Address1501 S CALIFORNIA AVEChicago, IL 60608-1732

Mailing Address8336 S Hermitage AveChicago, IL 60620-4629 · (312) 933-6075

Phone(773) 257-6097

Sole ProprietorYes

Enumeration DateJanuary 4, 2012

✔ NPI 1073883203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036129320

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1501 S CALIFORNIA AVE, Chicago, IL 60608

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clyde Whiting M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Clyde Whiting reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Attala Emergency Group LLC

615 mi

Emergency Medicine

220 HIGHWAY 12 W
Kosciusko, MS 39090

Reassigned Medicare billing, Mississippi enrollment
46 clinicians in this Medicare group

NPI 1407103294 (662) 289-4311

Keystone Medical Services Of Ms, Inc

705 mi

Emergency Medicine

233 MAGNOLIA ST
Hazlehurst, MS 39083

Reassigned Medicare billing, Mississippi enrollment
159 clinicians in this Medicare group

NPI 1174691059 (601) 894-4541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE JORDAN

Community Health Worker

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 542-2000

DR. SURAIYA I ALVI M.D.

Pediatrics

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 257-6843

MOUNT SINAI COMMUNITY FOUNDATION

Physician Assistant (Surgical)

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 257-6663

DR. AMARDEEP SINGH M.D.

Emergency Medicine

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 257-6843

DR. NANCY A SIBIGTROTH M.D.

Radiology (Diagnostic Radiology)

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 257-6498

DR. SHANTA NATH M.D.

Pediatrics

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 257-6184

DR. MOHAMMED AZHER KASSEM M.D

Internal Medicine

1501 S CALIFORNIA AVE, MT SINAI HOSPITAL, CANCER CARE CENTER
CHICAGO, IL 60608

Cook County (773) 257-6120

ALYNA CHIEN MD

Pediatrics

1501 S CALIFORNIA AVE
CHICAGO, IL 60608

Cook County (773) 257-6770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Whiting's NPI number?

The NPI number for Clyde Whiting is 1073883203. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Clyde Whiting located?

Clyde Whiting practices at 1501 S California Ave, Chicago, IL 60608. The listed phone number is (773) 257-6097.

What is Clyde Whiting's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Clyde Whiting enrolled in Medicare?

Yes. Clyde Whiting is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clyde Whiting's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Whiting reassigns Medicare benefits to 2 organizations: Attala Emergency Group LLC (Kosciusko, MS) and Keystone Medical Services Of Ms, Inc (Hazlehurst, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clyde Whiting's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clyde Whiting was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.