Individual provider Active NPI

Michael David White, M.D.

  • Neurology Physician
  • Geneva, NY
National Provider Identifier
1871848853
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2012018828 Issued in MO
Practice address
875 Pre Emption Rd Ste 4
Geneva, NY 14456-2042
Phone
(585) 368-6545
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X 301718 NY
Neurology Physician 2084N0400X 2012018828 MO Primary

Addresses

Primary practice location

875 Pre Emption Rd Ste 4
Geneva, NY 14456-2042

Mailing address

4901 Forest Park Ave, 2ND Floor Medicine Clinic
Center for Outpatient Health
Saint Louis, MO 63108

Other practice location 1

4901 Forest Park Ave, 2nd Floor Medicine Clinic
Center for outpatient Health
Saint Louis, MO 63108
Phone (314) 452-1935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200519002760 NY Practitioner - Neurology 0648409870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of New York at Buffalo School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (315) 789-5061

Hospital & facility affiliations

  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301718NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
U of R Neurology Department Neurology CurrentSince Jul 1, 2020 Accepting new patients
Hematology Clinical Group Current Accepting new patients
University of Rochester CurrentSince Jul 1, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jul 1, 2022 Accepting new patients
University of Rochester Current Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jul 1, 2020 Accepting new patients

Locations

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

875 Pre Emption Rd
Ste 4
Geneva, NY 14456
Phone (585) 368-6545

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: mwhite212490@direct.urmc.rochester.edu
  • Direct secure messaging: mwhite348751@direct.rochesterregional.org

Organizations & group practices 8

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 8

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1871848853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE, 2ND FLOOR MEDICINE CLINIC",
            "address_2": "CENTER FOR OUTPATIENT HEALTH",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PRE EMPTION RD STE 4",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562042",
            "telephone_number": "585-368-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Forest Park Ave, 2nd Floor Medicine Clinic",
            "address_2": "Center for outpatient Health",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63108",
            "country_code": "US",
            "telephone_number": "314-452-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "301718",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2012018828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.