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

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: August 16, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.