Active NPI
Kevin T White, MD
- Spinal Cord Injury Medicine Physician
- Milwaukee, WI
National Provider Identifier
1760434245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- 45222
- Practice address
- VA Medical Center
5000 West National Avenue
Milwaukee, WI 53295 - Phone
- (414) 805-3666
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | 45222 | WI | Primary |
Addresses
Primary practice location
VA Medical Center
5000 West National Avenue
Milwaukee, WI 53295
Mailing address
5000 W National Ave
VA Medical Center
Milwaukee, WI 53295-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34459400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110803000500 | FL | Practitioner - Physical Medicine and Rehabilitation | 5799677506 | Practice locations: Tampa, FL |
| I20200515002163 | NE | Practitioner - Physical Medicine and Rehabilitation | 5799677506 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faith Regional Health Services
Practice addresses (Care Compare)
2700 W Norfolk Ave
Faith Health
Norfolk, NE 68701-4438
Phone (402) 371-4880
Hospital & facility affiliations
- Faith Health
- HCA Florida Bayonet Point Hospital
- Faith Regional Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45222 | WI | MD | Spinal Cord Injury Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Regional Health Services | Current | Accepting new patients | |
| Faith Regional Health Services | Current | Accepting new patients |
Locations
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
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.
-
- Community/Retail Pharmacy
- Norfolk, NE
- NPI 1699891465
-
- Rehabilitation Hospital Unit
- Norfolk, NE
- NPI 1013012442
-
- Community Based Hospice Care Agency
- Norfolk, NE
- NPI 1265536395
-
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
-
- Home Health Agency
- Norfolk, NE
- NPI 1841395126
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Norfolk, NE
- NPI 1013012442
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Hudson, FL
- NPI 1003524794
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760434245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"address_2": "VA MEDICAL CENTER",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "5000 WEST NATIONAL AVENUE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53295",
"telephone_number": "414-805-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KEVIN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "WI",
"license": "45222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34459400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.