Organization Active NPI

Louis I White MD

  • Family Medicine Physician
  • Birmingham, MI
National Provider Identifier
1245961895
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOUIS I WHITE MD
Practice address
1775 E 14 Mile Rd Ste 110
Birmingham, MI 48009-7204
Phone
(248) 646-1775
Fax
(248) 646-4737
NPI assigned
Jun 23, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Louis Isadore White, MDNPI 1902901077
Title
Owner
Phone
(248) 646-1775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221230001303 MI Part B Supplier - Clinic/Group Practice 2769852011 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0681842Louis I White MD1775 East 14 Mile Road, Birmingham, MI 48009Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1245961895",
    "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": [],
    "basic": {
        "organization_name": "LOUIS I WHITE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ISADORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-646-1775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

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