NPIMap

Individual provider Active NPI

Cortney D White, M.D.

  • Dermatology Physician
  • Saint Paul, MN
National Provider Identifier
1265411805
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
47133 Issued in MN
Practice address
280 Snelling Ave N
Saint Paul, MN 55104
Phone
(651) 645-3628
Fax
(651) 645-3620
NPI assigned
Jan 12, 2006
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 47133 MN Primary

Addresses

Primary practice location

280 Snelling Ave N
Saint Paul, MN 55104

Mailing address

60 Plato Blvd E
Suite 270
Saint Paul, MN 55107-1827
Phone (651) 209-1600

Other identifiers 1

IdentifierTypeStateIssuer
487458700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000154 MN Practitioner - Dermatology 4587643689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants, PAGroup PAC ID 1850295676, 23 clinicians

Practice addresses (Care Compare)

1215 Town Centre Dr
Suite 200
Eagan, MN 55123-1033
Phone (651) 251-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.99 of 100Reported as group
Quality
61.48
Promoting interoperability
93
Improvement activities
40
Cost
77.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions902
Removal or shaving of skin growth76
Skin biopsy172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47133MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, PA Dermatology CurrentSince Jul 16, 2007 Accepting new patients

Locations

1215 Town Centre Dr
Ste 200
Eagan, MN 55123
Phone (651) 251-3300

280 Snelling Ave N
Saint Paul, MN 55104
Phone (651) 645-3628

60 Plato Blvd E
Ste 270
Saint Paul, MN 55107
Phone (651) 209-1600

3555 Willow Lake Blvd
Ste 240
Vadnais Heights, MN 55110
Phone (651) 770-0110

576 Bielenberg Dr
Ste 200
Woodbury, MN 55125
Phone (651) 209-1600

Interoperability endpoints

  • Direct secure messaging: cwhite@dermcons.encitedirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1265411805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLATO BLVD E",
            "address_2": "SUITE 270",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071827",
            "telephone_number": "651-209-1600",
            "fax_number": "651-291-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-645-3628",
            "fax_number": "651-645-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CORTNEY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "47133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487458700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.