Individual provider Active NPI

Dalila White, MD

  • Vascular Surgery Physician
  • Pueblo, CO
National Provider Identifier
1407940257
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DR.0076437 Issued in CO
Practice address
1401 Court St
Pueblo, CO 81003-2715
Phone
(719) 562-2300
Fax
(719) 562-2095
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X DR.0076437 CO Primary
Vascular Surgery Physician 2086S0129X 0101288703 VA

Addresses

Primary practice location

1401 Court St
Pueblo, CO 81003-2715

Mailing address

2695 Rocky Mountain Ave
Loveland, CO 80538-8702
Phone (970) 624-2403

Other practice location 1

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone (757) 736-1250

Other practice location 2

122 Maple Ave Fl 7
White Plains, NY 10601-4706
Phone (914) 849-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221115001908 NY Practitioner - Vascular Surgery 7618076753 Reassigns benefits to 1 organization
I20251208002267 CO Practitioner - Vascular Surgery 7618076753 Reassigns benefits to 1 organization
I20260224004006 DC Practitioner - Vascular Surgery 7618076753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Wake Forest University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

1401 Court St
Pueblo, CO 81003-2715
Phone (719) 562-2300

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

8116 Good Luck Rd
Suite 210
Lanham, MD 20706-3508
Phone (443) 481-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0076437COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
White Plains Physician Services PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1401 Court St
Pueblo, CO 81003
Phone (719) 562-2300

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

8116 Good Luck Rd
Ste 210
Lanham, MD 20706
Phone (240) 965-4405

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

122 Maple Ave
Fl 7
White Plains, NY 10601
Phone (914) 434-1475

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1407940257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-624-2403",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032715",
            "telephone_number": "719-562-2300",
            "fax_number": "719-562-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Coliseum Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665963",
            "country_code": "US",
            "telephone_number": "757-736-1250",
            "fax_number": "757-224-2198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Maple Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014706",
            "country_code": "US",
            "telephone_number": "914-849-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DALILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "DR.0076437",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101288703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.