NPIMap

Individual provider Active NPI

Matthew J White, D.O.

  • Rheumatology Physician
  • Cranston, RI
National Provider Identifier
1831585710
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DO01093 Issued in RI
Practice address
1500 Pontiac Ave Ste 107
Cranston, RI 02920-4486
Phone
(401) 606-1620
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 20769 NH
Rheumatology Physician 207RR0500X DO01093 RI Primary

Addresses

Primary practice location

1500 Pontiac Ave Ste 107
Cranston, RI 02920-4486

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Other practice location 1

One Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-8622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200921002150 NH Practitioner - Rheumatology 6002234291 Reassigns benefits to 2 organizations
I20210915003772 RI Practitioner - Rheumatology 6002234291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island HospitalGroup PAC ID 8921900044, shared by 12 NPIs, 430 clinicians

Practice addresses (Care Compare)

407 E Ave
Suite 250
Pawtucket, RI 02860-5299
Phone (401) 721-5706

593 Eddy St
Apc 138
Providence, RI 02903-4900
Phone (401) 444-5435

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20769NHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 10, 2020 Accepting new patients
Rhode Island Hospital CurrentSince Oct 17, 2021 Accepting new patients
Rhode Island Hospital CurrentSince Oct 18, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 10, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 17, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 10, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 17, 2021 Accepting new patients
Rhode Island Hospital CurrentSince Oct 17, 2021 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223

1500 Pontiac Ave
Ste 107
Cranston, RI 02920
Phone (401) 444-5495

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

701 George Washington Hwy
Ste 101
Lincoln, RI 02865
Phone (401) 201-8000

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

407 East Ave
Ste 250
Pawtucket, RI 02860
Phone (401) 351-2280

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291

Interoperability endpoints

  • Direct secure messaging: mwhite179900@brownhealth.medalliesdirect.net

Organizations & group practices 10

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 9

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1831585710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE STE 107",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204486",
            "telephone_number": "401-606-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "20769",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "DO01093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.