Individual provider Active NPI

Daniel Ray Whalen, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1386896470
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-097550 Issued in OH
Practice address
1401 Steffen Ave
Cincinnati, OH 45215-2338
Phone
(513) 588-3623
Fax
(513) 554-4115
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-097550 OH Primary

Addresses

Primary practice location

1401 Steffen Ave
Cincinnati, OH 45215-2338

Mailing address

1401 Steffen Ave
Cincinnati, OH 45215-2338
Phone (513) 588-3623

Other identifiers 2

IdentifierTypeStateIssuer
0050379MedicaidOH
35-097550OtherOHMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000738 OH Practitioner - Pediatric Medicine 7810136199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-097550OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcare Connection, Inc Current Accepting new patients
The Healthcare Connection, Inc Current Accepting new patients

Locations

1401 Steffen Ave
Cincinnati, OH 45215
Phone (513) 483-3092

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

8146 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 522-7500

Interoperability endpoints

  • Direct secure messaging: daniel.whalen.p7@direct.healthcareconnection.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386896470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 STEFFEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152338",
            "telephone_number": "513-588-3623",
            "fax_number": "513-554-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STEFFEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152338",
            "telephone_number": "513-588-3623",
            "fax_number": "513-554-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-097550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050379",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35-097550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.