DR. JOHN PATRICK WHELAN MD PHD
NPI 1083681258
Pediatrics - Pediatric Rheumatology in Santa Monica, CA

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1250 16TH ST # C2304, SANTA MONICA, CA 90404(310) 319-4698(310) 319-4908 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Patrick Whelan Md Phd NPPES

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

DR. JOHN PATRICK WHELAN MD PHD (NPI 1083681258) is an individual pediatric rheumatology provider in Santa Monica, California, licensed in California (A53446) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Baylor College Of Medicine (1993).

NPPES Registry Identity

NPI1083681258
Entity TypeIndividualMale
Primary Taxonomy2080P0216X
Provider Legal NameDR. JOHN PATRICK WHELANCredential: MD PHD
Location Address1250 16TH ST # C2304Santa Monica, CA 90404-1249
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 319-4908
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1993
Enumeration DateMarch 7, 2006
Last NPPES UpdateNovember 12, 2019
NPI 1083681258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License Licensed in CA · A53446
Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License A53446 (CA)
Also ListedHospitalistTaxonomy 208M00000X · License A53446 (CA)
1250 16TH ST # C2304, Santa Monica, CA 90404

Secondary Practice Location 1

Location 1757 Westwood Plz Ste 7501Los Angeles, CA 90095-3075 · Phone (310) 267-9643 · Fax (310) 267-3840

Other Identifiers 3

Other150043MA · Tufts Health Plan
Medicaid3204120MA
OtherJ21870MA · Bcbs Ma

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Patrick Whelan Md Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557345907
PECOS Enrollment IDI20110805000701
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404

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 John Whelan's NPI number?

The NPI number for John Whelan is 1083681258. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is John Whelan located?

John Whelan practices at 1250 16th St # C2304, Santa Monica, CA 90404. The listed phone number is (310) 319-4698.

What is John Whelan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is John Whelan enrolled in Medicare?

Yes. John Whelan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Whelan was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.