CATHLEEN ANN WHELAN MD
NPI 1992706600
Internal Medicine in Providence, RI

Q: What is Cathleen Whelan's NPI number?

The NPI number for Cathleen Whelan is 1992706600. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Q: What is Cathleen Whelan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Cathleen Whelan was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 649-4050(401) 649-4051 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cathleen Ann Whelan Md NPPES

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

CATHLEEN ANN WHELAN MD (NPI 1992706600) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD 10375) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Js Weill Medical College, Cornell University (1997).

NPPES Registry Identity

NPI1992706600

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCATHLEEN ANN WHELANCredential: MD

Location Address164 SUMMIT AVEProvidence, RI 02906-2853

Mailing Address110 Elm St Fl 3Providence, RI 02903-4626 · (401) 443-4992 · Fax (401) 537-7241

Phone(401) 649-4050

Fax(401) 649-4051

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1997

Enumeration DateAugust 3, 2005

Last NPPES UpdateSeptember 27, 2021

NPPES CertifiedSeptember 27, 2021

✔ NPI 1992706600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD 10375

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

164 SUMMIT AVE, Providence, RI 02906

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Other Identifiers 8

Other3820RI · Neighborhood Health

Other0000022110RI · B/c

Other103750RI · Tufts Health Plan

MedicaidCW33179RI

Other110217181RI · Railroad Medicare

Other406988RI · Bchip

Other697702RI · Harvard Pilgrim Health

Other04-03194RI · United Health Care

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

Cathleen Ann Whelan Md 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 ID4789762923

PECOS Enrollment IDI20080429000187

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 Reassignments

Medicare enrollment records show Cathleen Whelan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Miriam Hospital

Same address

Multi-Specialty

164 SUMMIT AVE
Providence, RI 02906

Reassigned Medicare billing, Rhode Island enrollment
93 clinicians in this Medicare group

NPI 1598978744 (401) 444-5640

Lifespan Physician Group Inc

0.4 mi

Urology

195 COLLYER ST STE 201
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1720949803 (401) 272-7799

Coastal Medical Physicians, Inc.

2.2 mi

Internal Medicine

15 LASALLE SQUARE
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
268 clinicians in this Medicare group

NPI 1780273540 (401) 444-4383

Rhode Island Hospital

2.8 mi

Multi-Specialty

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
358 clinicians in this Medicare group

NPI 1154537520 (401) 444-6905

Brown Medicine

3.1 mi

Gastroenterology

235 PLAIN ST STE 201
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
256 clinicians in this Medicare group

NPI 1730827767 (401) 861-8830

Medical Associates Of Ri Inc

12 mi

Internal Medicine

1180 HOPE ST
Bristol, RI 02809

Reassigned Medicare billing, Rhode Island enrollment
61 clinicians in this Medicare group

NPI 1538161161 (401) 253-8900

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)