Individual provider Active NPI

Kevin M. White, MD

  • Cardiovascular Disease Physician
  • Augusta, ME
National Provider Identifier
1467405811
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD17111 Issued in ME
Practice address
35 Medical Center Parkway, Suite 101
Augusta, ME 04330
Phone
(207) 430-4321
Fax
(207) 430-4320
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD17111 ME Primary
Internal Medicine Physician 207R00000X MD17111 ME

Addresses

Primary practice location

35 Medical Center Parkway, Suite 101
Augusta, ME 04330

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031115000036 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345154274 Reassigns benefits to 1 organization
I20060303000014 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345154274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westcare Medical Center, IncGroup PAC ID 8628982550, 4 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1220 Barataria Blvd
Marrero, LA 70072-3702

1220 Barataria Blvd
Marrero, LA 70072-3769
Phone (504) 340-6711

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 706-3280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17111MEMDInternal Medicine Physician
10162RLAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Mar 14, 2013 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 4, 2013 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Cardiovascular Disease CurrentSince Mar 14, 2013 Accepting new patients
Mainehealth CurrentSince Mar 14, 2013 Accepting new patients
Mainehealth CurrentSince Mar 14, 2013 Accepting new patients
Westcare Medical Center, Inc CurrentSince Jun 2, 2003 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 4, 2013 Accepting new patients
Northeast Cardiology Associates Cardiovascular Disease Past Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711

35 Medical Center Pkwy
Ste 101
Augusta, ME 04330
Phone (207) 430-4321

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

149 North St
Unit 8B
Waterville, ME 04901

149 North St
Waterville, ME 04901
Phone (207) 622-1959

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: kwhite278173@direct.mmc.mainehealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFAD

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1467405811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PARKWAY, SUITE 101",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-430-4321",
            "fax_number": "207-430-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD17111",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD17111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.