Individual provider Active NPI

Lillian Renee White, M.D., P.A.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1174635452
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2136 Issued in TX
Practice address
5068 W Plano Pkwy
Suite 100
Plano, TX 75093-4408
Phone
(972) 312-9292
Fax
(972) 312-9995
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2136 TX Primary

Addresses

Primary practice location

5068 W Plano Pkwy
Suite 100
Plano, TX 75093-4408

Mailing address

5068 W Plano Pkwy
Suite 100
Plano, TX 75093-4408
Phone (972) 312-9292

Other identifiers 1

IdentifierTypeStateIssuer
0005GVOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100526000193 TX Practitioner - Internal Medicine 5799767216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 100
Plano, TX 75093-4488
Phone (972) 312-9292

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
K2136TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lillian R. White MD PA CurrentSince Feb 7, 2010 Accepting new patients
Physicain Geriatric Services PA Internal Medicine Past Accepting new patients

Locations

18800 Preston Rd
Ste 314
Dallas, TX 75252
Phone (972) 312-9292

5068 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (972) 312-9292

Interoperability endpoints

  • Direct secure messaging: lillian.white@lrw.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGJCAD/Endpoint/AGJCAD
  • Direct secure messaging: lilian.white@642019742908420.direct.elationemr.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.

Hospital & facility affiliations 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1174635452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934408",
            "telephone_number": "972-312-9292",
            "fax_number": "972-312-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934408",
            "telephone_number": "972-312-9292",
            "fax_number": "972-312-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LILLIAN",
        "middle_name": "RENEE",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0005GV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.