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DR. ANGELIQUE GLOSTER WALLER M.D.
NPI 1306931738
Pediatrics in Cincinnati, OH

Active since October 03, 2006PECOS Enrolled
8250 KENWOOD CROSSING WAY, #205, CINCINNATI, OH 45236(513) 948-8444(513) 948-0756 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Angelique Gloster Waller M.d. NPPES

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

DR. ANGELIQUE GLOSTER WALLER M.D. (NPI 1306931738) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35-067334) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306931738
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ANGELIQUE GLOSTER WALLERCredential: M.D.
Location Address8250 KENWOOD CROSSING WAY, #205Cincinnati, OH 45236
Mailing Address12061 Sheraton LnCincinnati, OH 45246-1611 · (513) 336-6700
Phone(513) 948-8444
Fax(513) 948-0756
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1306931738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35-067334
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8250 KENWOOD CROSSING WAY, Cincinnati, OH 45236
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Other Identifiers 1

Medicaid0108387OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angelique Gloster Waller M.d. 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 Angelique Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chmc Community Health Services Network
7.8 mi
Pediatrics
3333 BURNET AVE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1245821271 (513) 636-4200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

GREGG KOTTYAN M.D.
Pediatrics
8250 KENWOOD CROSSING WAY, SUITE 205
CINCINNATI, OH 45236
Hamilton County (513) 948-8444
DR. TERRENCE S POOLE D.D.S.
Dentist (General Practice)
8250 KENWOOD CROSSING WAY, SUITE 220
CINCINNATI, OH 45236
Hamilton County (513) 961-1991
TRI-STATE PAIN MANAGEMENT SERVICE INC
Pain Medicine (Interventional Pain Medicine)
8250 KENWOOD CROSSING WAY, STE 101
CINCINNATI, OH 45236
Hamilton County (859) 341-7246
OMDEVASENA THIRUGNANAM MD
Family Medicine (Sleep Medicine)
8250 KENWOOD CROSSING WAY, SUITE 225
CINCINNATI, OH 45236
Hamilton County (513) 721-7533
MR. RICHARD T. MADARANG PT
Physical Therapist
8250 KENWOOD CROSSING WAY, SUITE 200
CINCINNATI, OH 45236
Hamilton County (513) 221-5500
VASCULAR SURGERY ASSOCIATES OF CINCINNATI INC
Surgery (Vascular Surgery)
8250 KENWOOD CROSSING WAY, SUITE 225
CINCINNATI, OH 45236
Hamilton County (513) 936-5280
YOUR MD, LLC
Family Medicine (Sleep Medicine)
8250 KENWOOD CROSSING WAY, SUITE 225
CINCINNATI, OH 45236
Hamilton County (513) 721-9600
MRS. YELENA M YASNOGORODSKY MPT
Physical Therapist
8250 KENWOOD CROSSING WAY, SUITE 200
CINCINNATI, OH 45236
Hamilton County (513) 221-5210

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 Angelique Waller's NPI number?

The NPI number for Angelique Waller is 1306931738. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Angelique Waller located?

Angelique Waller practices at 8250 Kenwood Crossing Way #205, Cincinnati, OH 45236. The listed phone number is (513) 948-8444.

What is Angelique Waller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Angelique Waller enrolled in Medicare?

Yes. Angelique Waller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelique Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Waller reassigns Medicare benefits to Chmc Community Health Services Network (Cincinnati, OH). 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 Angelique Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelique Waller accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Angelique Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angelique Waller was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.