Active NPI
Thomas Sumner White, M.D.
- Interventional Pain Medicine Physician
- Shenandoah, TX
National Provider Identifier
1396181350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- R6132
- Practice address
- 111 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3003 - Phone
- (713) 714-1399
- Fax
- (713) 389-5798
- NPI assigned
- May 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | R6132 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | R6132 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | R6132 | TX | Primary |
Addresses
Primary practice location
111 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3003
Mailing address
111 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3003
Phone (713) 714-1399
Other practice location 1
200 Hawkins Dr
Department of Anesthesiology
Iowa City, IA 52242-1009
Phone (319) 356-2210
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Texas Medical Branch at Galveston, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Vision Park Blvd
Suite 100
Shenandoah, TX 77384-3003
Phone (713) 714-1399
901 W 38TH St
Suite 405
Austin, TX 78705-1162
Phone (512) 420-8813
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
- Aspire Hospital
- Memorial Hermann Memorial City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6132 | TX | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procura Pain and Spine, PLLC | Pain Medicine | Current | Accepting new patients |
| Procura Pain and Spine, PLLC | Current | Accepting new patients | |
| Houston Kidney Specialists Center PLLC | Past | Accepting new patients |
Locations
24018 Highway 59 N
Kingwood, TX 77339
Phone (281) 446-4878
111 Vision Park Blvd
Ste 100
Shenandoah, TX 77384
Phone (281) 362-0006
Interoperability endpoints
- thomas.white.1@11939.direct.athenahealth.com
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Shenandoah, TX
- NPI 1245663848
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1649676024
-
- Durable Medical Equipment & Medical Supplies
- Kingwood, TX
- NPI 1023971249
-
- Nephrology Physician
- Houston, TX
- NPI 1396217162
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1093955296
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1114340080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1396181350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 VISION PARK BLVD STE 100",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843003",
"telephone_number": "713-714-1399",
"fax_number": "713-389-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 VISION PARK BLVD STE 100",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843003",
"telephone_number": "713-714-1399",
"fax_number": "713-389-5798"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_2": "Department of Anesthesiology",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2210",
"fax_number": "319-356-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "THOMAS",
"middle_name": "SUMNER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-17",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "R6132",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "R6132",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "R6132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.