DR. RUSSELL ALEXANDER WHITEHEAD MD - NPI 1952169310

Q: What is the provider's specialty?

The provider's specialty is Otolaryngology with taxonomy code 207Y00000X.

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About Dr. Russell Alexander Whitehead Md NPPES

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

DR. RUSSELL ALEXANDER WHITEHEAD MD (NPI 1952169310) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (125.085822) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952169310

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. RUSSELL ALEXANDER WHITEHEADCredential: MD

Location Address1653 W CONGRESS PKWY # 12Chicago, IL 60612-3833

Mailing Address1653 W Congress Pkwy # 12Chicago, IL 60612-3833

Phone(312) 942-7100

Sole ProprietorYes

Enumeration DateMarch 11, 2024

Last NPPES UpdateJune 11, 2025

NPPES CertifiedJune 11, 2025

✔ NPI 1952169310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in IL · 125.085822

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1653 W CONGRESS PKWY # 12, Chicago, IL 60612

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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. Russell Alexander Whitehead 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 60612 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.