Dr. John Whelan MD PHD
About this NPIWhat this record shows.
NPI 1083681258 is registered to Dr. John Whelan MD PHD, a Pediatric Rheumatology Physician practising at 1250 16th St # C2304 in Santa Monica, California. Pediatric Rheumatology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. John Whelan MD PHD has been enumerated in the National Provider Identifier (NPI) registry since 2006.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 150043MA· Issued by TUFTS HEALTH PLAN
- J21870MA· Issued by BCBS MA
Medicaid
- 3204120MA
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20110805000701RheumatologyCA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. John Whelan MD PHD accepts. To confirm in-network status with your specific health plan, contact Dr. John Whelan MD PHD directly at (310) 319-4698.
Frequently asked
Yes. NPI 1083681258 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Pediatric Rheumatology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (310) 319-4698.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. John Whelan MD PHD is a Type-1 individual NPI.