NPIMap

Individual provider Active NPI

Maxwell White, DO

  • Family Medicine Physician
  • Birmingham, MI
National Provider Identifier
1043877137
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101026124 Issued in MI
Practice address
1775 E 14 Mile Rd Ste 110
Birmingham, MI 48009-7204
Phone
(248) 646-1775
Fax
(248) 646-4737
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5151013713 MI
Family Medicine Physician 207Q00000X 5101026124 MI Primary

Addresses

Primary practice location

1775 E 14 Mile Rd Ste 110
Birmingham, MI 48009-7204

Mailing address

1775 E 14 Mile Rd Ste 110
Birmingham, MI 48009-7204
Phone (248) 646-1775

Other practice location 1

1458 W Center Rd Ste 1
Essexville, MI 48732-2151
Phone (989) 895-4625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003754 MI Practitioner - Family Practice 8224361175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louis I White MDGroup PAC ID 2769852011, 2 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1775 E 14 Mile Rd
Suite 110
Birmingham, MI 48009-7204
Phone (248) 646-1775

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151013713MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis I White MD Family Medicine CurrentSince Sep 16, 2022 Accepting new patients

Locations

1775 E 14 Mile Rd
Ste 110
Birmingham, MI 48009
Phone (248) 646-1775

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCFDD/Endpoint/HCCFDD

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1043877137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E 14 MILE RD STE 110",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097204",
            "telephone_number": "248-646-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E 14 MILE RD STE 110",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097204",
            "telephone_number": "248-646-1775",
            "fax_number": "248-646-4737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1458 W Center Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Essexville",
            "state": "MI",
            "postal_code": "487322151",
            "country_code": "US",
            "telephone_number": "989-895-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAXWELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5151013713",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.