NEIL SMITH WHITAKER (M.D.) – Hospitalist Physician, NPI 1245341155

NEIL SMITH WHITAKER (M.D.) is a healthcare provider. based in Provo, Utah. specializing in Hospitalist Physician. They hold the professional credentials M.D.. They hold a License No. 178342-1205 (UT). The NPI Number for NEIL SMITH WHITAKER (M.D.) is 1245341155

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
NEIL SMITH WHITAKER (M.D.)
NPI
1245341155
Phone
(801) 357-7849
Address
1034 N 500 W
Enumeration Date
31 August 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4352511000
Graduation Year
1981 (45 years ago)
PAC ID
0941253140
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20050228000993
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for NEIL SMITH WHITAKER (M.D.)

  • 1034 N 500 W

    Provo, UT 846043380

    Phone: (801) 357-7849

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (435) 251-2992

    Type: Mailing

  • 1380, Medical Center Drive, St. George, Washington County, Utah, 84790, United States

    ST GEORGE, UT 847902123

    Phone: (435) 251-2992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050228000993IHospitalistUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 84604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for NEIL SMITH WHITAKER (M.D.)?
NEIL SMITH WHITAKER (M.D.) — NPI 1245341155 — is the standard way to identify this listing.
Can I rely on NEIL SMITH WHITAKER (M.D.) being an active provider?
As of the registry snapshot, NEIL SMITH WHITAKER (M.D.) is marked active.
What healthcare role does NEIL SMITH WHITAKER (M.D.) hold?
Scheduling teams often label NEIL SMITH WHITAKER (M.D.) under Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is NEIL SMITH WHITAKER (M.D.) based?
NEIL SMITH WHITAKER (M.D.) is tied to Provo, Utah in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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