DR. MICHAEL WHITE MD
NPI 1164085494
Pediatrics - Pediatric Cardiology in Park Ridge, IL

Q: What is Michael White's NPI number?

The NPI number for Michael White is 1164085494. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Q: What is Michael White's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Michael White was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2019PECOS Enrolled

1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 284-0882 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2026, May 19, 2023, Jun 5, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Michael White Md NPPES

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

DR. MICHAEL WHITE MD (NPI 1164085494) is an individual pediatric cardiology provider in Park Ridge, Illinois, licensed in Minnesota (74173) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164085494

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. MICHAEL WHITECredential: MD

Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110

Mailing Address1675 Dempster StPark Ridge, IL 60068-1110

Phone(847) 284-0882

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 22, 2019

Last NPPES UpdateJune 25, 20264 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1164085494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MN · 74173

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

1675 DEMPSTER ST, Park Ridge, IL 60068

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael White Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305256322

PECOS Enrollment IDI20250924003733

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.

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