Individual provider Active NPI

Robert Eliot White, MD. MPH.

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1962412775
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79-100 Issued in NM
Practice address
303 Roma Ave NW
Albuquerque, NM 87102-2251
Phone
(505) 262-7073
Fax
(505) 262-7891
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79-100 NM Primary

Addresses

Primary practice location

303 Roma Ave NW
Albuquerque, NM 87102-2251

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 232-1617

Other practice location 1

5150 Journal Center Blvd NE
Albuquerque, NM 87109-5900
Phone (505) 262-3133

Other practice location 2

5400 Gibson Blvd SE
IT Department
Albuquerque, NM 87108-4729
Phone (505) 262-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1962412775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028",
            "telephone_number": "505-232-1617",
            "fax_number": "505-262-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ROMA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022251",
            "telephone_number": "505-262-7073",
            "fax_number": "505-262-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Journal Center Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871095900",
            "country_code": "US",
            "telephone_number": "505-262-3133",
            "fax_number": "505-262-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Gibson Blvd SE",
            "address_2": "IT Department",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871084729",
            "country_code": "US",
            "telephone_number": "505-262-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "ELIOT",
        "name_prefix": "Dr.",
        "credential": "MD. MPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "79-100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.