Individual provider Active NPI

Michael Craig White, M.D.

  • Dermatology Physician
  • Mechanicsville, VA
National Provider Identifier
1255319349
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101043787 Issued in VA
Practice address
6372 Mechanicsville Tpke Ste 103
Mechanicsville, VA 23111-4710
Phone
(804) 379-0116
Fax
(804) 379-1088
NPI assigned
Jan 9, 2006
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101043787 VA Primary

Addresses

Primary practice location

6372 Mechanicsville Tpke Ste 103
Mechanicsville, VA 23111-4710

Mailing address

PO Box 72605
North Chesterfield, VA 23235-8017
Phone (804) 379-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100728001047 VA Practitioner - Dermatology 5799818662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Dermatology PLLCGroup PAC ID 1759430457, 9 clinicians

Practice addresses (Care Compare)

6372 Mechanicsville Tpke
Suite 103
Mechanicsville, VA 23111-4710
Phone (804) 379-0116

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as group
Quality
94.68
Improvement activities
40
Cost
79.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions581
Removal or shaving of skin growth20
Skin biopsy372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101043787VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James River Dermatology PLLC CurrentSince Dec 1, 2018 Accepting new patients
James River Dermatology PLLC Dermatology CurrentSince Dec 1, 2018 Accepting new patients
Danville Dermatology Associates, Inc. Dermatology PastSince Apr 22, 1991 Accepting new patients

Locations

6372 Mechanicsville Tpke
Ste 103
Mechanicsville, VA 23111
Phone (804) 379-0116

1316 Alverser Plz
Midlothian, VA 23113
Phone (804) 291-8636

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCHAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1255319349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72605",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358017",
            "telephone_number": "804-379-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE STE 103",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114710",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101043787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.