KEEGAN J WHITE PA-C
NPI 1093445744
Physician Assistant - Surgical in New York, NY

Active since June 15, 2022PECOS EnrolledAccepts Medicare Assignment
5141 BROADWAY, NEW YORK, NY 10034(585) 953-7296 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keegan J White Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEEGAN J WHITE PA-C (NPI 1093445744) is an individual surgical provider in New York, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093445744
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEEGAN J WHITECredential: PA-C
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address67 Derrick DrW Henrietta, NY 14586-8914 · (585) 953-7296
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1093445744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
5141 BROADWAY, New York, NY 10034

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keegan J White Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567998016
PECOS Enrollment IDI20241209000962, I20251009002088
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keegan White's NPI number?

The NPI number for Keegan White is 1093445744. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Keegan White located?

Keegan White practices at 5141 Broadway, New York, NY 10034. The listed phone number is (585) 953-7296.

What is Keegan White's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Keegan White enrolled in Medicare?

Yes. Keegan White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keegan White affiliated with any hospitals?

According to CMS data, Keegan White is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Keegan White was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.