MR. LARRY KEITH JR. WHITAKER (P.A.) – Medical Physician Assistant, NPI 1205870649
Medical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MR. LARRY KEITH JR. WHITAKER (P.A.)
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012500
Phone: (217) 383-6792
Type: Mailing
Hoopeston Community Memorial Hospital, 801, East Orange Street, Hoopeston, Vermilion County, Illinois, 60942, United States
HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA CHARLOTTE ANN
HOOPESTON, IL 609421802
Phone: (217) 283-5644
Fax: (217) 283-7432
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Novo Nordisk Inc ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041104000271 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Family Practice | IL | |
| - | IL | |
| Hospitalist, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| Family Practice, Emergency Medicine | IL | |
| General Surgery | IL |
Reviews
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