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DR. EMMETT E WHITAKER III MD
NPI 1609916311
Anesthesiology - Pain Medicine in Burlington, VT

Active since February 08, 2007PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2415 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2023, Feb 21, 2018 (2 updates tracked since 2018).

About Dr. Emmett E Whitaker Iii Md NPPES

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

DR. EMMETT E WHITAKER III MD (NPI 1609916311) is an individual pain medicine provider in Burlington, Vermont, licensed in Maryland (D73475) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1609916311
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. EMMETT E WHITAKER IIICredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-4200
Phone(802) 847-2415
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1609916311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses✔ Licensed in MD · D73475✔ Licensed in OH · 35.121452
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 042.0013903 (VT), D73475 (MD)
111 COLCHESTER AVE, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 933-4853

Other Identifiers 1

Medicaid0094956OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmett E Whitaker Iii 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.

Medicare Billing Reassignment

Medicare enrollment records show Emmett Whitaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins University
380 mi
Ophthalmology
4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1376342774 (410) 000-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RICHARD BOHLING CAROZZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

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 Emmett Whitaker's NPI number?

The NPI number for Emmett Whitaker is 1609916311. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Emmett Whitaker located?

Emmett Whitaker practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-2415.

What is Emmett Whitaker's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Emmett Whitaker enrolled in Medicare?

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

Which organization bills Medicare for Emmett Whitaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmett Whitaker reassigns Medicare benefits to Johns Hopkins University (Belcamp, MD). 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 Emmett Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emmett Whitaker accept?

Health plans from Anthem Blue Cross and Blue Shield list Emmett Whitaker 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.

When was this NPI record last updated?

The NPPES record for Emmett Whitaker was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.