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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
JAMES ATKINSON MD
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500

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 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.

Where is Cathleen Whelan located?

Cathleen Whelan practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 649-4050.

What is Cathleen Whelan's specialty?

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

Is Cathleen Whelan enrolled in Medicare?

Yes. Cathleen Whelan 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.

Is Cathleen Whelan affiliated with any hospitals?

According to CMS data, Cathleen Whelan is affiliated with Rhode Island Hospital and The Miriam Hospital.

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 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.