Active NPI
Tyrus Michael White Jr., MD
- Hematology & Oncology Physician
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 42601
- Practice address
- 1 Trillium Way
Baptist Health Cancer Center
Corbin, KY 40701-8727 - Phone
- (606) 523-1934
- Fax
- (606) 523-1982
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 42601 | KY | Primary |
Addresses
Primary practice location
1 Trillium Way
Baptist Health Cancer Center
Corbin, KY 40701-8727
Mailing address
5200 Commerce Crossings Dr FL Floor
Louisville, KY 40229-2182
Phone (502) 253-4924
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100160280 | Medicaid | KY | |
| P01428671 | Other | KY | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twhite9264@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110608000346 | KY | Practitioner - Hematology/Oncology | 0446437040 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934
Hospital & facility affiliations
- Baptist Health Corbin
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1 Trillium Way
Ste 301
Corbin, KY 40701
Phone (606) 526-7363
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
5200 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 253-4900
Interoperability endpoints
- twhite9264@bhkydirect.com
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 1
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": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1124281167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 COMMERCE CROSSINGS DR FL FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292182",
"telephone_number": "502-253-4924",
"fax_number": "502-489-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TRILLIUM WAY",
"address_2": "BAPTIST HEALTH CANCER CENTER",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018727",
"telephone_number": "606-523-1934",
"fax_number": "606-523-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TYRUS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "42601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100160280",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01428671",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhite9264@bhkydirect.com",
"affiliation": "N",
"address_1": "1 Trillium Way",
"address_2": "Baptist Health Cancer Center",
"city": "Corbin",
"state": "KY",
"country_code": "US",
"postal_code": "407018727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.