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DR. RUSSELL ALEXANDER WHITEHEAD MD
NPI 1952169310
Otolaryngology in Chicago, IL

Active since March 11, 2024PECOS Enrolled
1653 W CONGRESS PKWY # 12, CHICAGO, IL 60612(312) 942-7100 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS JOSEPH
Registered Nurse
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (312) 947-8800
ZOHA AHMED
Registered Nurse
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (312) 942-7100
JOHMAYRA MATUTE
Registered Nurse
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (773) 558-6187
COLTON MOWERS
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (312) 942-7100
PEYTON ELIZABETH ANDERSON RN, BSN
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (314) 942-7100
JESSICA DIAZ
Surgery (Surgical Critical Care)
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (312) 942-7100
CLAUDIA ALEXIS SANCHEZ MD
Internal Medicine
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (312) 942-7100
MICHAEL CHARLES SIMM RN
Registered Nurse
1653 W CONGRESS PKWY # 12
CHICAGO, IL 60612
Cook County (312) 942-7100

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 Russell Whitehead's NPI number?

The NPI number for Russell Whitehead is 1952169310. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Russell Whitehead located?

Russell Whitehead practices at 1653 W Congress Pkwy # 12, Chicago, IL 60612. The listed phone number is (312) 942-7100.

What is Russell Whitehead's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Russell Whitehead enrolled in Medicare?

Yes. Russell Whitehead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Whitehead was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.