NPIMap

Individual provider Active NPI

James Robert White, M.D.

  • Neurology Physician
  • Saint Paul, MN
National Provider Identifier
1851314173
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
41769 Issued in MN
Practice address
225 Smith Ave N
Ste 201
Saint Paul, MN 55102-2533
Phone
(651) 241-5305
Fax
(651) 241-5140
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 41769 MN Primary
Neurology Physician 2084N0400X 54612-020 WI

Addresses

Primary practice location

225 Smith Ave N
Ste 201
Saint Paul, MN 55102-2533

Mailing address

225 Smith Ave N
Ste 201
Saint Paul, MN 55102-2533
Phone (651) 241-5305

Other identifiers 9

IdentifierTypeStateIssuer
47421600MedicaidMN
05-81571OtherMEDICA
857587OtherAMERICAS PPO
10088MedicaidND
01020358OtherPREFERRED ONE
42B52WHOtherMNBLUE CROSS BLUE SHIELD
A014OtherTRIWEST
130020429OtherRAILROAD MEDICARE
HP37184OtherHEALTHPARTNERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302001014 MN Practitioner - Neurology 8921280520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Epilepsy Group PAGroup PAC ID 6709771363, 24 clinicians

Practice addresses (Care Compare)

2720 Fairview Ave N
Suite 100
Roseville, MN 55113-1306
Phone (651) 241-5290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41769MNMDNeurology Physician
54612-020WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Epilepsy Group PA Neurology CurrentSince Nov 15, 2010 Accepting new patients
St. Croix Women's Center, S.C. Past Accepting new patients

Locations

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

225 Smith Ave N
Ste 201
Saint Paul, MN 55102
Phone (651) 241-5290

2720 Fairview Ave N
#100
Saint Paul, MN 55113
Phone (651) 241-5290

1610 Maxwell Dr
Ste 200
Hudson, WI 54016
Phone (715) 377-1616

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDABA

Organizations & group practices 2

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.

Hospital & facility affiliations 50

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1851314173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N",
            "address_2": "STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022533",
            "telephone_number": "651-241-5305",
            "fax_number": "651-241-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N",
            "address_2": "STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022533",
            "telephone_number": "651-241-5305",
            "fax_number": "651-241-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "41769",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "54612-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47421600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "05-81571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "857587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10088",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01020358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42B52WH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "A014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130020429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP37184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.