DR. ANTHONY PAUL WHITLOW D.O.
NPI 1386179570
Hospitalist in Sioux Falls, SD
About Dr. Anthony Paul Whitlow D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY PAUL WHITLOW D.O. (NPI 1386179570) is an individual hospitalist provider in Sioux Falls, South Dakota, licensed in South Dakota (12048) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Mount Vernon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Anthony Paul Whitlow D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Anthony Whitlow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSanford Vermillion Hospital
Critical Access Hospitals · Vermillion, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
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 Anthony Whitlow's NPI number?
The NPI number for Anthony Whitlow is 1386179570. It was assigned to this individual provider in the NPPES registry on April 25, 2017.
Where is Anthony Whitlow located?
Anthony Whitlow practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 328-4973.
What is Anthony Whitlow's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Anthony Whitlow enrolled in Medicare?
Yes. Anthony Whitlow 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.
Which organization bills Medicare for Anthony Whitlow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Whitlow reassigns Medicare benefits to Sanford Clinic (Sioux Falls, SD). The 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 Anthony Whitlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Whitlow accept?
Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Anthony Whitlow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Anthony Whitlow affiliated with any hospitals?
According to CMS data, Anthony Whitlow is affiliated with Sanford Usd Medical Center and Sanford Vermillion Hospital.
When was this NPI record last updated?
The NPPES record for Anthony Whitlow was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Anthony Paul Whitlow, D.O. · NPI 1386179570
Hospitalist physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since April 25, 2017.
## Identity
- **NPI:** 1386179570 (Entity type: Individual)
- **Enumerated:** April 25, 2017
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 12048 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1305 W 18TH ST, Sioux Falls, SD 57105-0401
- **Phone:** (605) 328-4973 · **Fax:** (605) 328-1295
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Sanford Clinic (NPI 1043583537, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2017
## Record status
- **NPPES last updated:** October 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1386179570) · Data from the CMS NPPES public registry.