Individual provider Active NPI

Michael Jay White, M.D.

  • Obstetrics & Gynecology Physician
  • Grand Junction, CO
National Provider Identifier
1609878248
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0052262 Issued in CO
Practice address
610 25 Rd
Grand Junction, CO 81505
Phone
(970) 628-6954
Fax
(970) 233-7769
NPI assigned
Aug 12, 2005
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8495885-1205 UT
Obstetrics & Gynecology Physician 207V00000X DR.0052262 CO Primary
Obstetrics & Gynecology Physician 207V00000X 01097335A IN
Obstetrics & Gynecology Physician 207V00000X M-16132 ID

Addresses

Primary practice location

610 25 Rd
Grand Junction, CO 81505

Mailing address

PO Box 23228
Glade Park, CO 81523-0228
Phone (970) 628-6954

Other practice location 1

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 463-5000

Other practice location 2

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (864) 908-3530

Other practice location 3

3000 32nd Ave S
Fargo, ND 58103-6132
Phone (218) 786-8364

Other practice location 4

11725 Illinois St
Carmel, IN 46032-3008
Phone (317) 688-5200

Other practice location 5

450 Williams Way
Moab, UT 84532-2185
Phone (435) 719-3500

Other identifiers 2

IdentifierTypeStateIssuer
1609878248MedicaidSD
5906622MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT, SD, IN, ND, ID6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20150701001697 CO Practitioner - Obstetrics/Gynecology 7315970456 Reassigns benefits to 2 organizations
I20170125002657 UT Practitioner - Obstetrics/Gynecology 7315970456 Reassigns benefits to 2 organizations
I20250416003718 SD Practitioner - Obstetrics/Gynecology 7315970456 Reassigns benefits to 1 organization
I20250819000187 IN Practitioner - Obstetrics/Gynecology 7315970456 Reassigns benefits to 1 organization
I20251021002275 ND Practitioner - Obstetrics/Gynecology 7315970456 Reassigns benefits to 1 organization
I20260529003078 ID Practitioner - Obstetrics/Gynecology 7315970456

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

11725 Illinois St
Suite 275
Carmel, IN 46032-3009
Phone (317) 944-6467

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-16132IDMDObstetrics & Gynecology Physician
01097335AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Colorado, P.C. Obstetrics & Gynecology CurrentSince May 11, 2015 Accepting new patients
Innovis Health LLC CurrentSince Aug 11, 2025 Accepting new patients
Obhg South Dakota PC Obstetrics & Gynecology CurrentSince Mar 17, 2025 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Aug 1, 2017 Accepting new patients
Innovis Health LLC CurrentSince Aug 11, 2025 Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients
St. Mary's Hospital and Medical Center, Inc. Past Accepting new patients
Moab Valley Healthcare Inc Past Accepting new patients

Locations

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

610 25 Rd
Grand Junction, CO 81505
Phone (970) 298-9600

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1609878248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23228",
            "city": "GLADE PARK",
            "state": "CO",
            "postal_code": "815230228",
            "telephone_number": "970-628-6954",
            "fax_number": "970-233-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 25 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-628-6954",
            "fax_number": "970-233-7769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 E Flamingo Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836873138",
            "country_code": "US",
            "telephone_number": "208-463-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11725 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323008",
            "country_code": "US",
            "telephone_number": "317-688-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Williams Way",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "845322185",
            "country_code": "US",
            "telephone_number": "435-719-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "8495885-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0052262",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01097335A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M-16132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609878248",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.