MR. LARRY KEITH WHITAKER JR. P.A.
NPI 1205870649
Physician Assistant - Medical in Hoopeston, IL

Q: What is Larry Whitaker's NPI number?

The NPI number for Larry Whitaker is 1205870649. It was assigned to this individual provider in the NPPES registry on June 16, 2006. The provider is also known as Mr. Keith Whitaker Pa-C.

Q: What is Larry Whitaker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Larry Whitaker was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 June 16, 2006PECOS EnrolledAccepts Medicare Assignment

801 E ORANGE ST, HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA CHARLOTTE ANN, HOOPESTON, IL 60942(217) 283-5644(217) 283-7432 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 9, 2025, Jun 28, 2016 (2 updates tracked since 2016).

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About Mr. Larry Keith Whitaker Jr. P.a. NPPES

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

MR. LARRY KEITH WHITAKER JR. P.A. (NPI 1205870649) is an individual medical provider in Hoopeston, Illinois, licensed in Illinois (085002299) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205870649

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. LARRY KEITH WHITAKER JR.Credential: P.A.

Location Address801 E ORANGE ST, HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA CHARLOTTE ANNHoopeston, IL 60942-1802

Mailing Address611 W Park St, BwpcUrbana, IL 61801-2500 · (217) 383-6792

Phone(217) 283-5644

Fax(217) 283-7432

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 16, 2006

Last NPPES UpdateJune 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1205870649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085002299

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085002299 (IL)

801 E ORANGE ST, Hoopeston, IL 60942

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Other Names 1

Other Name (5)Mr. Keith Whitaker Pa-c

Other Identifiers 3

Other096466IL · Health Alliance

Other085002299IL · License Number

Other777561IL · Health Link

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

Mr. Larry Keith Whitaker Jr. P.a. 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 ID1557324258

PECOS Enrollment IDI20041104000271

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141316

Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers45 claims94 services$5.50 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

1 supplier22 claims24 services$1.03 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers13 claims2,073 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers19 claims19 services$200.05 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers16 claims16 services$24.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

TERRA MARIE KINNEY PA-C

Physician Assistant