Individual provider Active NPI

Timothy R White, MD

  • Anesthesiology Physician
  • Glendale Heights, IL
National Provider Identifier
1295721264
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036103106 Issued in IL
Practice address
701 Winthrop Ave
Glendale Heights, IL 60139
Phone
(630) 545-5980
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036103106 IL Primary

Addresses

Primary practice location

701 Winthrop Ave
Glendale Heights, IL 60139

Mailing address

701 Winthrop Ave
Glendale Heights, IL 60139-1405

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.white.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040715000595 IL Practitioner - Anesthesiology 0648165241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc. 253 clinicians
Mobile Anesthesiologists Chicago LLC 47 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-5980

9550 W Higgins Rd
Suite 1100
Rosemont, IL 60018-4962
Phone (773) 355-5300

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103106ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc Anesthesiology CurrentSince Apr 18, 2012 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mobile Anesthesiologists Chicago LLC Anesthesiology CurrentSince May 5, 2025 Accepting new patients
Board of Trustees of the University of Illinois Anesthesiology CurrentSince Mar 5, 2012 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 5, 2012 Accepting new patients
Adventist Health Partners,Inc CurrentSince Apr 18, 2012 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
West Central Anesthesiology Group LTD Anesthesiology Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

40 S Clay St
Hinsdale, IL 60521
Phone (630) 323-4202

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

9550 W Higgins Rd
Ste 1100
Rosemont, IL 60018
Phone (773) 756-5760

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

Interoperability endpoints

  • Direct secure messaging: twhite1239840@adventhealth.direct-ci.com
  • Direct secure messaging: timothy.white.1@380.direct.athenahealth.com

Organizations & group practices 8

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1295721264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "60139",
            "telephone_number": "630-545-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036103106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.white.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "701 Winthrop Ave",
            "city": "Glendale Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

Verify at the official NPI Registry.