Drake B White, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036090221 Issued in IL

Practice address

505 E Grant St
Suite 205
Macomb, IL 61455

Phone

(309) 833-3800

Fax

(309) 837-6092

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Orthopedic Surgery

Education

University of Minnesota Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital AssociationGroup PAC ID 0244134682, 39 clinicians

Mason Hospital DistrictGroup PAC ID 2466360607, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Carthage, IL, CCN 141305
• MC Donough District Hospital Hospital, Macomb, IL, CCN 140089
• Sarah D Culbertson Memorial Hospital Hospital, Rushville, IL, CCN 141333
• Mason District Hospital Hospital, Havana, IL, CCN 141313

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
• Direct secure messaging: dwhite675272@direct.unitypoint.org

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.

• Mason Hospital District

  • Critical Access Hospital
  • Havana, IL
  • NPI 1902849649

  IL

  Medicare reassignment Care Compare group NPD
• Memorial Hospital Association

  • Critical Access Hospital
  • Carthage, IL
  • NPI 1730139031

  IL

  Medicare reassignment Care Compare group NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766

  IL

  Medicare reassignment NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Carthage, IL
  • NPI 1205887742
  Care Compare group NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Hamilton, IL
  • NPI 1679327779
  Care Compare group NPD
• Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
  • NPI 1013969112

  IL

  Medicare reassignment
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Carthage, IL
  • NPI 1588614002
  Care Compare group NPD (past)
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Colchester, IL
  • NPI 1699228882
  Care Compare group NPD (past)
• Mason Hospital District

  • Rural Health Clinic/Center
  • Havana, IL
  • NPI 1063478782
  Care Compare group
• Mason Hospital District

  • Home Health Agency
  • Havana, IL
  • NPI 1265548010
  Care Compare group
• Mason Hospital District

  • Rural Health Clinic/Center
  • Manito, IL
  • NPI 1780128512
  Care Compare group
• Mason Hospital District

  • Rural Health Clinic/Center
  • Mason City, IL
  • NPI 1932166931
  Care Compare group

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

• Mason Hospital District

  • Ambulance
  • Havana, IL
  • NPI 1689823866

  Hospital

  Care Compare affiliation
• Mason Hospital District

  • Critical Access Hospital
  • Havana, IL
  • NPI 1902849649

  Hospital

  Care Compare affiliation
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766

  Hospital

  Care Compare affiliation
• Memorial Hospital Association

  • Critical Access Hospital
  • Carthage, IL
  • NPI 1730139031

  Hospital

  Care Compare affiliation
• Schuyler County Hospital District

  • Critical Access Hospital
  • Rushville, IL
  • NPI 1013969112

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1124120076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "SUITE 205",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-833-3800",
            "fax_number": "309-837-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "SUITE 205",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-833-3800",
            "fax_number": "309-837-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DRAKE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036090221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAID",
            "identifier": "0587030",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090221",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Illinois Service Coordination
• Western Illinois Surgical Associates, S.C.
• Western Illinois University
• Western Illinois University Speech Language Hearing Clinic
• Ronald D. Wheeler, M.D.
• Olivia M White, MD
• Shelbi Leigh White, CCC-SLP
• Candice Leah Wietholder, COTA/L
• Timothy Lee Williams, O.D.
• Tonny Jill Williamson, D.D.S.

• All providers in Macomb, IL
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.