Individual provider Active NPI

Michelle H White, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Greenwood Village, CO
National Provider Identifier
1003877234
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
DR0045241 Issued in CO
Practice address
5690 DTC Blvd Ste 130W
Greenwood Village, CO 80111-3253
Phone
(303) 500-5042
Fax
(303) 872-6717
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X DR0045241 CO Primary

Addresses

Primary practice location

5690 DTC Blvd Ste 130W
Greenwood Village, CO 80111-3253

Mailing address

5690 DTC Blvd Ste 130W
Greenwood Village, CO 80111-3253
Phone (303) 500-5042

Other identifiers 3

IdentifierTypeStateIssuer
571089770OtherSCTAX ID
GP2889MedicaidSC
77001532MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000388 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 0941278600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5690 DTC Blvd
Suite 130W
Greenwood Village, CO 80111-3253
Phone (303) 500-5042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0045241COMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Oculoplastic Surgery, PC Ophthalmology CurrentSince Jun 28, 2009 Accepting new patients
Charleston Cornea & Refractive Surgery, PA Ophthalmology PastSince Jan 1, 2000 Accepting new patients

Locations

5690 Dtc Blvd
Ste 130W
Greenwood Village, CO 80111
Phone (303) 500-5042

5445 Dtc Pkwy
Ste 1015
Greenwood Village, CO 80111
Phone (303) 500-5042

Networks

  • NM HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO
  • CO HMO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1003877234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 DTC BLVD STE 130W",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113253",
            "telephone_number": "303-500-5042",
            "fax_number": "303-872-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 DTC BLVD STE 130W",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113253",
            "telephone_number": "303-500-5042",
            "fax_number": "303-872-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHELLE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR0045241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "571089770",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2889",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.