Keegan J White, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

5141 Broadway
New York, NY 10034-1159

Phone

(585) 953-7296

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ny Society for the Relief of Ruptured and Crippled MaintainingGroup PAC ID 4082856513, 175 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital for Special Surgery Hospital, New York, NY, CCN 330270

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
• FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Ny Society for the Relief of Ruptured & Crippled Maintaining

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1902243488
  Medicare reassignment Care Compare group NPD
• Ny Society for the Relief of Ruptured & Crippled Maintaining

  • Orthopaedic Surgery Physician
  • Paramus, NJ
  • NPI 1982004529
  Medicare reassignment

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

• HSS Westchester

  • Radiology Clinic/Center
  • White Plains, NY
  • NPI 1184159188

  Hospital

  Care Compare affiliation
• New York Society for Relief of the Ruptured and Crippled Maintaining T

  • Radiology Clinic/Center
  • New York, NY
  • NPI 1376032029

  Hospital

  Care Compare affiliation
• New York Society for Relief of the Ruptured and Crippled Maintaining T

  • Radiology Clinic/Center
  • Brooklyn, NY
  • NPI 1487200408

  Hospital

  Care Compare affiliation
• New York Society for Relief of the Ruptured and Crippled Maintaining T

  • Radiology Clinic/Center
  • New York, NY
  • NPI 1801443619

  Hospital

  Care Compare affiliation
• New York Society for the Relief of Ruptured & Crippled Maintaining

  • Radiology Clinic/Center
  • Southampton, NY
  • NPI 1023705803

  Hospital

  Care Compare affiliation
• New York Society for the Relief of Ruptured & Crippled Maintaining

  • General Acute Care Hospital
  • New York, NY
  • NPI 1598703019
  Care Compare affiliation
• New York Society for the Relief of the Ruptured and Crippled

  • Radiology Clinic/Center
  • Uniondale, NY
  • NPI 1629504501

  Hospital

  Care Compare affiliation
• New York Society for the Relief of Ruptured & Crippled Maintaining

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1447082003
  Care Compare affiliation
• New York Society for the Relief of the Ruptured and Crippled

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1184038663
  Care Compare affiliation
• New York Society for the Relief of the Ruptured and Crippled

  • Radiology Clinic/Center
  • Stamford, CT
  • NPI 1821402306

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1093445744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 DERRICK DR",
            "city": "W HENRIETTA",
            "state": "NY",
            "postal_code": "145868914",
            "telephone_number": "585-953-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341159",
            "telephone_number": "585-953-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEEGAN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Tasheka White
• Josh White, DPM, PLLC
• Judith Costella White, LCSW
• Kari Kristine White, NURSE PRACTICIONER
• Katherine Mary White, PA-C
• Lillian U White, RN
• Lisa White
• Margaret White, NP
• Marinda White, M.S. CCC-SLP
• Mark Adrian White, LCSW

• Surgical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.