Individual provider Active NPI

Chad White, MD

  • Obstetrics & Gynecology Physician
  • Clinton TWP, MI
National Provider Identifier
1639269962
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
CW060590 Issued in MI
Practice address
39200 Garfield Rd
Suite B
Clinton TWP, MI 48038-4095
Phone
(586) 286-6060
Fax
(586) 286-5055
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CW060590 MI Primary

Addresses

Primary practice location

39200 Garfield Rd
Suite B
Clinton TWP, MI 48038-4095

Mailing address

39200 Garfield Rd
Suite B
Clinton TWP, MI 48038-4095
Phone (586) 286-6060

Other practice location 1

29751 Little Mack Ave Ste B
Roseville, MI 48066-6504
Phone (586) 415-6200

Other identifiers 4

IdentifierTypeStateIssuer
3341863MedicaidMI
CW060590OtherMIBCBS
1750415915OtherMIPRACTICE NPI
1992895221OtherMIPRACTICE NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080516000748 MI Practitioner - Obstetrics/Gynecology 2668560699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women'S Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

29751 Little Mack Ave
Roseville, MI 48066-6504
Phone (586) 415-6200

30030 23 Mile Rd
Chesterfield, MI 48047-5718
Phone (586) 948-5900

39200 Garfield Rd
Suite B
Clinton Township, MI 48038-4095
Phone (586) 286-6060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

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
CW060590MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Together Women'S Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jun 8, 2021 Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince May 25, 2012 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jun 22, 2021 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince May 25, 2012 Accepting new patients

Locations

30030 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 948-5900

39200 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 286-6060

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22151 Moross Rd
Ste 303
Grosse Pointe, MI 48236
Phone (313) 881-6488

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

29751 Little Mack Ave
Ste B
Roseville, MI 48066

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: cwhite236740@direct.hfhs.org
  • Direct secure messaging: chad.white.1@23349.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1639269962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39200 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384095",
            "telephone_number": "586-286-6060",
            "fax_number": "586-286-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39200 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384095",
            "telephone_number": "586-286-6060",
            "fax_number": "586-286-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29751 Little Mack Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480666504",
            "country_code": "US",
            "telephone_number": "586-415-6200",
            "fax_number": "586-415-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "CW060590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341863",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CW060590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1750415915",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1992895221",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.