Individual provider Active NPI

Robert W White, P.A. - C

  • Medical Physician Assistant
  • Windermere, FL
National Provider Identifier
1396720389
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA102552 Issued in FL
Practice address
5151 Winter Garden Vineland Rd Ste 206
Windermere, FL 34786-6098
Phone
(407) 573-3360
Fax
(407) 643-2811
NPI assigned
Dec 13, 2005
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA102552 FL Primary

Addresses

Primary practice location

5151 Winter Garden Vineland Rd Ste 206
Windermere, FL 34786-6098

Mailing address

5151 Winter Garden Vineland Rd Ste 206
Windermere, FL 34786-6098
Phone (407) 573-3360

Other practice location 1

1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287

Other identifiers 1

IdentifierTypeStateIssuer
291851000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001758 FL Practitioner - Physician Assistant 5698750982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287

32 W Gore St
Orlando, FL 32806-1134

5151 Winter Garden Vineland Rd
Windermere, FL 34786-6098

60 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA102552FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 3, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 3, 2020 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1285 Orange Ave
Winter Park, FL 32789
Phone (407) 647-2287

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rwhite@jortho1643.srs-direct.com
  • Direct secure messaging: rwhite30961@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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 3

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1396720389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 WINTER GARDEN VINELAND RD STE 206",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866098",
            "telephone_number": "407-573-3360",
            "fax_number": "407-643-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 WINTER GARDEN VINELAND RD STE 206",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866098",
            "telephone_number": "407-573-3360",
            "fax_number": "407-643-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327894984",
            "country_code": "US",
            "telephone_number": "407-647-2287",
            "fax_number": "407-643-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA102552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291851000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.