Individual provider Active NPI

Patrick William White, M.D.

  • Legal Medicine
  • Montgomery Village, MD
National Provider Identifier
1508929571
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
D23365 Issued in MD
Practice address
19301 Watkins Mill Rd
Montgomery Village, MD 20886-6914
Phone
(410) 745-9509
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X D23365 MD Primary

Addresses

Primary practice location

19301 Watkins Mill Rd
Montgomery Village, MD 20886-6914

Mailing address

2850 Pebble Beach Dr
Ellicott City, MD 21042-7604
Phone (410) 746-9509

Other identifiers 1

IdentifierTypeStateIssuer
336611101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20120720000525 MD Practitioner - Internal Medicine 3476719378 Practice locations: Ellicott City, MD; Catonsville, MD
I20150929000340 DC Practitioner - Internal Medicine 3476719378 Reassigns benefits to 2 organizations
Practice locations: Rockville, MD

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Aug 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Aug 1, 2015 Accepting new patients
Patrick White LLC CurrentSince Jan 1, 2025 Accepting new patients
Global Med Solutions LLC Past Accepting new patients
Potomac Operator LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Foot Savers Inc. Past Accepting new patients

Locations

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

19301 Watkins Mill Rd
Montgomry Vlg, MD 20886
Phone (301) 527-2500

10714 Potomac Tennis Ln
Potomac, MD 20854
Phone (301) 299-2273

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

Organizations & group practices 7

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1508929571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PEBBLE BEACH DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427604",
            "telephone_number": "410-746-9509",
            "fax_number": "410-465-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 WATKINS MILL RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208866914",
            "telephone_number": "410-745-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MD",
            "license": "D23365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336611101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

Verify at the official NPI Registry.