JOHN KEVIN WHALEN MD
NPI 1750343224
Family Medicine in Cincinnati, OH
About John Kevin Whalen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN KEVIN WHALEN MD (NPI 1750343224) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35.073148) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Florence, and is a graduate of University Of Toledo College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Kevin Whalen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show John Whalen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45212
- Reassigned Medicare billing, Ohio enrollment
- 268 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Ohio enrollment
- 53 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Ohio enrollment
- 35 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Ohio enrollment
- 5 clinicians in this Medicare group
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 80 clinicians in this Medicare group
Miami, FL 33169
- Reassigned Medicare billing, Ohio enrollment
- 41 clinicians in this Medicare group
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 45237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Whalen's NPI number?
The NPI number for John Whalen is 1750343224. It was assigned to this individual provider in the NPPES registry on April 3, 2006.
Where is John Whalen located?
John Whalen practices at 7642 Reading Rd, Cincinnati, OH 45237. The listed phone number is (513) 619-7766.
What is John Whalen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Whalen enrolled in Medicare?
Yes. John Whalen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Whalen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Whalen reassigns Medicare benefits to 6 organizations: Vpa PC (Cincinnati, OH), Abode Care Partners Al Vb, LLC (Mason, OH), Abode Care Partners Ltc Vb, LLC (Mason, OH), Shc Medical Partners Of Ohio, LLC (Mason, OH), Mills Medical Practices, LLC (Beachwood, OH) and 1 more organization, listed in the Medicare section above. Each 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 John Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Whalen accept?
Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list John 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 John Whalen was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# John Kevin Whalen, MD · NPI 1750343224
Family Medicine physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1750343224 (Entity type: Individual)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.073148 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7642 READING RD, Cincinnati, OH 45237-3204
- **Phone:** (513) 619-7766
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Vpa PC (NPI 1487699575, Cincinnati, OH); Abode Care Partners Al Vb, LLC (NPI 1104695550, Mason, OH); Abode Care Partners Ltc Vb, LLC (NPI 1144099318, Mason, OH); Shc Medical Partners Of Ohio, LLC (NPI 1811360829, Mason, OH); Mills Medical Practices, LLC (NPI 1477701969, Beachwood, OH); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 1994
## Record status
- **NPPES last updated:** October 6, 2020
- **Other identifiers:** Medicaid 64010788 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1750343224) · Data from the CMS NPPES public registry.