Individual provider Active NPI

Ronald Lemond White, M.D.

  • Pain Medicine Physician
  • Bloomington, IN
National Provider Identifier
1487677944
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
29027 Issued in MS
Practice address
888 S Auto Mall Rd
Bloomington, IN 47401-5430
Phone
(812) 353-2700
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01071396A IN
Pain Medicine (Anesthesiology) Physician 207LP2900X MD425768 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X 134516 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101240242 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X L4803 TX
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 29027 MS Primary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 01071396A IN
Anesthesiology Physician 207L00000X L4803 TX
Anesthesiology Physician 207L00000X 134516 CA
Addiction Medicine (Anesthesiology) Physician 207LA0401X 134516 CA
Addiction Medicine (Anesthesiology) Physician 207LA0401X L4803 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X 39369 KY

Addresses

Primary practice location

888 S Auto Mall Rd
Bloomington, IN 47401-5430

Mailing address

60MDG / Pain Clinic
101 Bodin Circle
Travis Afb, CA 94535-1800
Phone (707) 423-3216

Other practice location 1

171A Butcher Rd
Vacaville, CA 95687-5656
Phone (707) 474-4433

Other practice location 2

60MDG / Pain Clinic
101 Bodin Circle
Travis AFB, CA 94535-1800
Phone (707) 423-3216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150729009871 CA Practitioner - AnesthesiologyPractitioner - Addiction MedicinePractitioner - Interventional Pain Management 8224084736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Addiction Medicine, Interventional Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacsolano Anesthesia Exchange Medical Group, IncGroup PAC ID 9537382882, 32 clinicians

Practice addresses (Care Compare)

3315 Watt Ave
Sacramento, CA 95821-3600
Phone 91648168001234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425768PAMDPain Medicine (Anesthesiology) Physician
L4803TXMDPain Medicine (Anesthesiology) Physician
0101240242VAMDPain Medicine (Anesthesiology) Physician
29027MSMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Anesthesia Service Exchange Medical Group, Inc. Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Sacsolano Anesthesia Exchange Medical Group, Inc Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
First Choice Medical and Surgical Associates Inc Multi-Specialty CurrentSince Jul 23, 2018 Accepting new patients

Locations

2805 J St
Ste 200
Sacramento, CA 95816
Phone (916) 231-8755

3315 Watt Ave
Sacramento, CA 95821
Phone (916) 481-0777

171 Butcher Rd
#A
Vacaville, CA 95687
Phone (707) 423-2510

171 Butcher Rd
Ste A
Vacaville, CA 95687
Phone (707) 359-2255

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 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1487677944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60MDG / PAIN CLINIC",
            "address_2": "101 BODIN CIRCLE",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351800",
            "telephone_number": "707-423-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S AUTO MALL RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015430",
            "telephone_number": "812-353-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171A Butcher Rd",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956875656",
            "country_code": "US",
            "telephone_number": "707-474-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60MDG / Pain Clinic",
            "address_2": "101 Bodin Circle",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351800",
            "country_code": "US",
            "telephone_number": "707-423-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RONALD",
        "middle_name": "LEMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01071396A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD425768",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "134516",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101240242",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L4803",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MS",
            "license": "29027",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01071396A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L4803",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "134516",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "134516",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "TX",
            "license": "L4803",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "39369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.