Active NPI
Michelle H White, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Greenwood Village, CO
National Provider Identifier
1003877234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- DR0045241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571089770 | Other | SC | TAX ID |
| GP2889 | Medicaid | SC | |
| 77001532 | Medicaid | CO |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR0045241 | CO | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Oculoplastic Surgery, PC | Ophthalmology | Current | Accepting new patients |
| Charleston Cornea & Refractive Surgery, PA | Ophthalmology | Past | 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.
-
- Ophthalmology Physician
- Englewood, CO
- NPI 1134353626
-
- Ophthalmology Physician
- Mount Pleasant, SC
- NPI 1790990182
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.