Individual provider Active NPI

Aisha Dalila White, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1255589180
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
N4200 Issued in TX
Practice address
6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Phone
(512) 324-8320
Fax
(512) 324-8323
NPI assigned
Sep 4, 2008
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N4200 TX
Plastic Surgery Physician 208200000X N4200 TX
Plastic and Reconstructive Surgery Physician 2086S0122X N4200 TX Primary

Addresses

Primary practice location

6611 River Place Blvd Ste 201
Austin, TX 78730-1167

Mailing address

6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Phone (512) 777-2969

Other identifiers 3

IdentifierTypeStateIssuer
721089OtherILAETNA
036116290MedicaidIL
3932056OtherILBCBS

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
I20120913000138 TX Practitioner - Plastic and Reconstructive Surgery 9931254729 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4200TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Ladd DO PA CurrentSince Jul 19, 2023 Accepting new patients
Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat CurrentSince Jul 19, 2023 Accepting new patients
Pinnacle Dermatology, SC Plastic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Chappell Rosso Dermatology PA Past Accepting new patients

Locations

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

6611 River Place Blvd
Ste 201
Austin, TX 78730
Phone (512) 467-7770

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

701 E Whitestone Blvd
Ste 150
Cedar Park, TX 78613
Phone (512) 260-5860

1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

4040 Medical Park Dr
Odessa, TX 79765
Phone (432) 217-0344

4112 Links Ln
Ste 205
Round Rock, TX 78664
Phone (512) 379-6090

160 Creekside Park Rd
Ste 300
Spring Branch, TX 78070
Phone (512) 643-4384

184 Creekside Park Rd
Ste 100
Spring Branch, TX 78070

Interoperability endpoints

  • Direct secure messaging: awhite24@yourcarecommunity.org

Organizations & group practices 4

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1255589180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301167",
            "telephone_number": "512-777-2969",
            "fax_number": "512-777-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301167",
            "telephone_number": "512-324-8320",
            "fax_number": "512-324-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AISHA",
        "middle_name": "DALILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4200",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N4200",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N4200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "721089",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116290",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3932056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.