Individual provider Active NPI

Kyle White, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lake Worth, FL
National Provider Identifier
1508277799
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
OS15226 Issued in FL
Practice address
7188 Estero Dr
Lake Worth, FL 33463-5600
Phone
(561) 308-8331
NPI assigned
May 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS15226 FL Primary

Addresses

Primary practice location

7188 Estero Dr
Lake Worth, FL 33463-5600

Mailing address

7188 Estero Dr
Lake Worth, FL 33463-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190528002422 FL Practitioner - Pathology 4082957444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Pathology, PAGroup PAC ID 1658350350, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 642-2998

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 642-2998

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 642-2998

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients
Palm Beach Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients
Acupath Inc Past Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

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.

Hospital & facility affiliations 5

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": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1508277799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7188 ESTERO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334635600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7188 ESTERO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334635600",
            "telephone_number": "561-308-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KYLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-11",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "OS15226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.