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DR. DANIEL RAY WHALEN MD
NPI 1386896470
Pediatrics in Cincinnati, OH

Active since October 21, 2008PECOS Enrolled
1401 STEFFEN AVE, CINCINNATI, OH 45215(513) 588-3623(513) 554-4115 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Ray Whalen Md NPPES

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

DR. DANIEL RAY WHALEN MD (NPI 1386896470) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35-097550) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386896470
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DANIEL RAY WHALENCredential: MD
Location Address1401 STEFFEN AVECincinnati, OH 45215-2338
Mailing Address1401 Steffen AveCincinnati, OH 45215-2338 · (513) 588-3623 · Fax (513) 554-4115
Phone(513) 588-3623
Fax(513) 554-4115
Sole ProprietorNo
Enumeration DateOctober 21, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1386896470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35-097550
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.
1401 STEFFEN AVE, Cincinnati, OH 45215
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Other Identifiers 2

Medicaid0050379OH
Other35-097550OH · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Ray Whalen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45215 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.

MICHAEL LOGAN O'LEARY CPHT
Pharmacy Technician
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 588-3635
THE HEALTHCARE CONNECTION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 588-3623
THE HEALTHCARE CONNECTION, INC
Pharmacy
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 554-4100
CAITLIN SABELHAUS NP
Nurse Practitioner (Family)
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 588-3623
MRS. EMILY BETH EVILSIZOR CNP, IBCLC
Nurse Practitioner
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 483-3080
MS. CHRISTINE LIND COLELLA MSN, CNP
Nurse Practitioner (Adult Health)
1401 STEFFEN AVE, LINCOLN HEIGHTS HEALTH CENTER
CINCINNATI, OH 45215
Hamilton County (513) 588-3623
MELISSA WILKES APRN CNP
Nurse Practitioner (Family)
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 483-3049
THE HEALTHCARE CONNECTION, INC.
Clinic/Center (Primary Care)
1401 STEFFEN AVE
CINCINNATI, OH 45215
Hamilton County (513) 483-3098

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 Daniel Whalen's NPI number?

The NPI number for Daniel Whalen is 1386896470. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Daniel Whalen located?

Daniel Whalen practices at 1401 Steffen Ave, Cincinnati, OH 45215. The listed phone number is (513) 588-3623.

What is Daniel Whalen's specialty?

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

Is Daniel Whalen enrolled in Medicare?

Yes. Daniel Whalen is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Whalen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Daniel Whalen 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 Daniel Whalen was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.