Individual provider Active NPI

Jason T White, DPM

  • Podiatrist
  • Williamsville, NY
National Provider Identifier
1376640540
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005864 Issued in NY
Practice address
15 S Forest Rd
Williamsville, NY 14221-6425
Phone
(716) 634-5993
Fax
(716) 478-0946
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005864 NY Primary

Addresses

Primary practice location

15 S Forest Rd
Williamsville, NY 14221-6425

Mailing address

15 S Forest Rd
Williamsville, NY 14221-6425
Phone (716) 634-5993

Other identifiers 4

IdentifierTypeStateIssuer
00026080003OtherUNIVERA
000526926002OtherBLUE CROSS BLUE SHIELD WN
000526926001OtherBLUE CROSS BLUE SHIELD WN
02344012MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000361 NY Practitioner - Podiatry 6204819832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 S Forest Rd
Williamsville, NY 14221-6444
Phone (716) 634-5993

Hospital & facility affiliations

  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Merit-based Incentive Payment System (MIPS)

Final score
66.2 of 100Reported as individual
Quality
0
Promoting interoperability
99
Improvement activities
40
Cost
77.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions12
Removal of nail tissue904
Removal or shaving of skin growth938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005864NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Solutions of Wny PLLC Podiatrist CurrentSince May 1, 2007 Accepting new patients
Podiatry Solutions of Wny PLLC CurrentSince May 1, 2007 Accepting new patients
Podiatry Solutions of Wny Past Accepting new patients
Richard B Narins MD PC Past Accepting new patients
Podiatry Solutions of Wny Podiatrist Past Accepting new patients

Locations

6000 Brockton Dr
Ste 102
Lockport, NY 14094
Phone (716) 434-6601

5844 Snyder Dr
Lockport, NY 14094
Phone (716) 434-6601

6040 Edward Ave
Newfane, NY 14108
Phone (716) 434-6601

15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734

Organizations & group practices 5

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 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1376640540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216425",
            "telephone_number": "716-634-5993",
            "fax_number": "716-478-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S FOREST RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216425",
            "telephone_number": "716-634-5993",
            "fax_number": "716-478-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JASON",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026080003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WN",
            "identifier": "000526926002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WN",
            "identifier": "000526926001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02344012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.