Keith Allen White, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD10976 Issued in OR

Practice address

1430 Monmouth St
Independence, OR 97351

Phone

(503) 838-1133

Fax

(503) 838-5138

NPI assigned

Sep 6, 2006

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Merit-based Incentive Payment System (MIPS)

Final score

92 of 100Reported as group

Quality

84.7

Promoting interoperability

100

Improvement activities

40

Cost

79.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.white.1@17725.direct.athenahealth.com
• Direct secure messaging: kwhiteagency231290@samhealth.direct-ci.com

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.

• Albany General Hospital

  dba Samaritan Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340
  Medicare reassignment NPD
• Silverton Health

  dba Legacy Silverton Medical Center

  • General Acute Care Hospital
  • Silverton, OR
  • NPI 1669424354
  Medicare reassignment NPD
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment
• Independence-Monmouth Family Medicine PC

  • Family Medicine Physician
  • Independence, OR
  • NPI 1598868515
  Authorized official Same address or phone
• Albany General Hospital

  dba Samaritan InterCommunity Health Clinic - Albany

  • Family Medicine Physician
  • Albany, OR
  • NPI 1306679816
  NPD
• Albany General Hospital

  dba Samaritan Walk-In Clinic - North Albany

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740546902
  NPD
• Silverton Health

  dba Legacy Molalla Family Medicine

  • Clinic/Center
  • Molalla, OR
  • NPI 1861116055

  Family Medicine

  NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1407959422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6149",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970070149",
            "telephone_number": "503-352-8657",
            "fax_number": "503-352-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MONMOUTH ST",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "97351",
            "telephone_number": "503-838-1133",
            "fax_number": "503-838-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD10976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26934-0",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalton J Urrutia, PT
• Andrew Vanderwall
• Sarah Marie Vanselow, DC
• Amanda Vitelli, RN
• Holli Watkin, CNP
• Kenneth R Winokur, DMD
• Tracy Wolf
• Cari Woods
• WVP Medical Group, LLC (WVP Independence Monmouth)
• Lori Yandell

• Family Medicine Physician in Independence, OR
• Providers in Independence, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.