DAVID OTTO WALTERHOUSE MD
NPI 1265491062
Pediatrics - Pediatric Hematology-Oncology in Chicago, IL

Q: What is David Walterhouse's NPI number?

The NPI number for David Walterhouse is 1265491062. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is David Walterhouse's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for David Walterhouse was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 21, 2006PECOS Enrolled

2300 CHILDRENS PLAZA, DIVISION OF HEMATOLOGY/ONCOLOGY BOX 30, CHICAGO, IL 60614(773) 755-6514(773) 880-3223 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About David Otto Walterhouse Md NPPES

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

DAVID OTTO WALTERHOUSE MD (NPI 1265491062) is an individual pediatric hematology-oncology provider in Chicago, Illinois, licensed in Illinois (036079082) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265491062

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDAVID OTTO WALTERHOUSECredential: MD

Location Address2300 CHILDRENS PLAZA, DIVISION OF HEMATOLOGY/ONCOLOGY BOX 30Chicago, IL 60614

Mailing Address2300 Childrens Plaza, Division Of Hematology/oncology Box 30Chicago, IL 60614 · (773) 755-6514 · Fax (773) 880-3223

Phone(773) 755-6514

Fax(773) 880-3223

Sole ProprietorNo

Enumeration DateMarch 21, 2006

Last NPPES UpdateSeptember 29, 2011

✔ NPI 1265491062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in IL · 036079082

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

2300 CHILDRENS PLAZA, Chicago, IL 60614

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Other Identifiers 3

Medicare UPINE18622

Medicare ID-Type UnspecifiedL03820IL

Medicaid036079082IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Otto Walterhouse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show David Walterhouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc

2.4 mi

Pediatrics

225 E CHICAGO AVE
Chicago, IL 60611

Reassigned Medicare billing, Illinois enrollment
826 clinicians in this Medicare group

NPI 1518064716 (312) 227-6412

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JAN ELLEN BERGER MD

Pediatrics

2300 CHILDRENS PLAZA
CHICAGO, IL 60614

Cook County (773) 880-4000

SARAH LYNN CHAMLIN MD

Dermatology

2300 CHILDRENS PLAZA, # 107
CHICAGO, IL 60614

Cook County (312) 227-6060

DR. ROBERT HOWARD LISTERNICK MD

Pediatrics

2300 CHILDRENS PLAZA, DIVISION OF GENERAL ACADEMIC PEDIATRICS CHILDRENS MEMOR
CHICAGO, IL 60614

Cook County (773) 880-3832

MARY KATHRYN STOELINGA APN

Pediatrics

2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614

Cook County (773) 975-8636

MARY LYNN KREITER MD

Pediatrics (Pediatric Endocrinology)

2300 CHILDRENS PLAZA, BOX 54
CHICAGO, IL 60614

Cook County (773) 880-4440

SOOKYONG KOH MD PHD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614

Cook County (773) 880-3179

SABRINA SIU LING TSAO MBBS

Pediatrics (Pediatric Cardiology)

2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614

Cook County (773) 880-4553

MICHAEL DAVID KELLEHER MD

Pediatrics (Pediatric Critical Care Medicine)

2300 CHILDRENS PLAZA, BOX #73
CHICAGO, IL 60614

Cook County (773) 880-3980

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 David Walterhouse's NPI number?

The NPI number for David Walterhouse is 1265491062. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is David Walterhouse located?

David Walterhouse practices at 2300 Childrens Plaza Division Of Hematology/Oncology Box 30, Chicago, IL 60614. The listed phone number is (773) 755-6514.

What is David Walterhouse's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is David Walterhouse enrolled in Medicare?

Yes. David Walterhouse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Walterhouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Walterhouse reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Walterhouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Walterhouse was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.