Active NPI
Loren White, M.D.
- Gastroenterology Physician
- Arlington Heights, IL
National Provider Identifier
1477543809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036-053612
- Practice address
- 1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765 - Phone
- (847) 439-1005
- Fax
- (847) 439-7555
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036-053612 | IL | Primary |
Addresses
Primary practice location
1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765
Mailing address
1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765
Phone (847) 439-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-053612 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-053612 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Gastroenterology | Current | Accepting new patients |
| Illinois Gastroenterology Group, LLC | Gastroenterology | Current | Accepting new patients |
| Northwest Gastroenterologists SC | Current | Accepting new patients |
Locations
1415 S Arlington Heights Rd
Arlington Hts, IL 60005
Phone (847) 439-1005
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1477543809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 S ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053765",
"telephone_number": "847-439-1005",
"fax_number": "847-439-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 S ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053765",
"telephone_number": "847-439-1005",
"fax_number": "847-439-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LOREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036-053612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-053612",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.