Organization Active NPI

Lillian R. White MD PA

  • Specialist
  • Plano, TX
National Provider Identifier
1285958793
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K2136 Issued in TX
Legal business name
LILLIAN R. WHITE MD PA
Doing business as
lillian r. white md pa
Practice address
5068 W Plano Pkwy
Suite 100
Plano, TX 75093-4408
Phone
(972) 312-9292
Fax
(972) 312-9995
NPI assigned
Mar 26, 2010
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Lillian Renee White, MDNPI 1174635452
Title
Physician
Phone
(972) 312-9292

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
Specialist 174400000X 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 2

IdentifierTypeStateIssuer
110237418OtherTXPALMETTO/MCR RAILROAD
0005GVOtherTXBCBS

Other names 1

  • lillian r. white md pa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000132 TX Part B Supplier - Clinic/Group Practice 2264561505 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

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
45D0952536Lillian R White MD PA5068 W Plano Pkwy, Suite 100, Plano, TX 75093Provider-performed microscopyOct 14, 2026

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1285958793",
    "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": {
        "organization_name": "LILLIAN R. WHITE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-312-9292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO/MCR RAILROAD",
            "identifier": "110237418",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0005GV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lillian r. white md pa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lillian r. white md pa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.