Kermit E White, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301062752 Issued in MI

Practice address

28430 Herndonwood Drive
Farmington Hills, MI 48334

Phone

(248) 504-9723

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southfield Family Practice PLLCGroup PAC ID 5395996631, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southfield Family Practice PLLC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1306195730
  Medicare reassignment Care Compare group NPD
• Bethesida Wholestic Center PLLC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1598980385
  NPD (past)
• Grand River Physical Medicine PLC

  • Occupational Medicine Physician
  • Novi, MI
  • NPI 1699119339
  NPD (past)
• Transformation Medical Services, PC

  • Adult Medicine Physician
  • Southfield, MI
  • NPI 1689942682
  NPD (past)
• Earnest Associates Inc

  • Family Medicine Physician
  • Marion, IN
  • NPI 1275565343
  NPD (past)
• Indiana Urgent Care Centers, LLC

  • Clinic/Center
  • Indianapolis, IN
  • NPI 1134292832
  NPD (past)
• Madison County Community Health Centers Inc

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1770668030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1528045903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28430 HERNDONWOOD DRIVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-504-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28430 HERNDONWOOD DRIVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-504-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KERMIT",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301062752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHO",
            "identifier": "Q0086502",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200144090",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000081497",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan White
• Judith White
• Kayla White
• Kaylee White
• Kaylee White
• Keziah White
• Kiara White
• Kiarra White
• Kieairra White
• Kristen White

• Family Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.