Individual provider Active NPI

Alisha Allen White, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1467600155
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010021889 Issued in MO
Practice address
3451 Union Blvd
Saint Louis, MO 63115-1142
Phone
(314) 888-0970
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010021889 MO Primary
Internal Medicine Physician 207R00000X 036.121823 IL

Addresses

Primary practice location

3451 Union Blvd
Saint Louis, MO 63115-1142

Mailing address

PO Box 740019
Atlanta, GA 30374-0019
Phone (312) 733-9730

Other practice location 1

4 Country Club Executive Park
Glen Carbon, IL 62034-1702
Phone (618) 659-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20110228000402 IL Practitioner - Internal Medicine 4486719028
I20241212002312 MO Practitioner - Internal Medicine 4486719028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Missouri LLCGroup PAC ID 7315340213, 25 clinicians

Practice addresses (Care Compare)

3451 Union Blvd
Saint Louis, MO 63115-1142
Phone (314) 888-0970

Hospital & facility affiliations

  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.121823ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Healthcare LLC Internal Medicine CurrentSince Dec 30, 2017 Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Allergy & Asthma Care LTD Past Accepting new patients

Locations

4 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (618) 288-6673

4 Country Club Executive Park
Glen Carbon, IL 62034
Phone (618) 288-6673

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

3451 Union Blvd
Saint Louis, MO 63115
Phone (314) 390-9890

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

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 and National Provider Directory roles.

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1467600155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740019",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151142",
            "telephone_number": "314-888-0970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Country Club Executive Park",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620341702",
            "country_code": "US",
            "telephone_number": "618-659-5567",
            "fax_number": "618-391-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALISHA",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010021889",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.121823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.