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DR. SHIRLEY A WHITAKER MD
NPI 1376524199
Internal Medicine - Nephrology in Springfield, MA

Active since November 09, 2005PECOS Enrolled
2150 MAIN ST, SPRINGFIELD, MA 01104(413) 733-0010(413) 930-2108 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017 (2 updates tracked since 2017).

About Dr. Shirley A Whitaker Md NPPES

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

DR. SHIRLEY A WHITAKER MD (NPI 1376524199) is an individual nephrology provider in Springfield, Massachusetts, licensed in Massachusetts (59030) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376524199
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SHIRLEY A WHITAKERCredential: MD
Location Address2150 MAIN STSpringfield, MA 01104-3566
Mailing AddressPo Box 366Ludlow, MA 01056-0366 · (413) 733-0010 · Fax (413) 930-2108
Phone(413) 733-0010
Fax(413) 930-2108
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1376524199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MA · 59030
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2150 MAIN ST, Springfield, MA 01104
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Other Names 1

Former Name (1)Shirley A Jackson

Other Identifiers 1

Medicaid0195031MA

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. Shirley A Whitaker Md 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 01104 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

CHIH MING CHEN M.D.
Internal Medicine (Pulmonary Disease)
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 739-5676
DR. JIUMING YE MD PHD
Internal Medicine (Nephrology)
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-0010
PAUL C HETZEL M.D.
Internal Medicine (Medical Oncology)
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 739-5676
VICTORIA L. COOK M.D.
Internal Medicine
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 739-5676
CHRISTINE C EVANCHICK M.D.
Internal Medicine (Rheumatology)
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 739-5676
JACQUELINE A. CONNOR PA-C
Physician Assistant
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 739-5676
SANDRA D CAMERON M.D.
Internal Medicine
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 731-5663
SPRINGFIELD MEDICAL ASSOCIATES, INC
Clinic/Center (Multi-Specialty)
2150 MAIN ST
SPRINGFIELD, MA 01104
Hampden County (413) 739-5676

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 Shirley Whitaker's NPI number?

The NPI number for Shirley Whitaker is 1376524199. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Shirley A Jackson.

Where is Shirley Whitaker located?

Shirley Whitaker practices at 2150 Main St, Springfield, MA 01104. The listed phone number is (413) 733-0010.

What is Shirley Whitaker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shirley Whitaker enrolled in Medicare?

Yes. Shirley Whitaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shirley Whitaker was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.