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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 22, 2019PECOS Enrolled
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068(708) 684-5580(708) 684-4068 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Jan 28, 2026, May 19, 2023 and 2 more (5 updates tracked since 2019).

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 Illinois (036.181621) 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 ST FL 3Park Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(708) 684-5580
Fax(708) 684-4068
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2019
Last NPPES UpdateOctober 8, 20265 updates tracked since enumeration
NPPES CertifiedOctober 8, 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
Licenses✔ Licensed in IL · 036.181621✔ 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 FL 3, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics
324 mi
Primary Care
19685 PILOT KNOB RD
Farmington, MN 55024
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1043491749 (651) 463-5100
Fairview Health Services
331 mi
General Acute Care Hospital
201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1225199128 (952) 892-2085

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MELISSA LIEBERMAN
Physician Assistant (Surgical)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
KAREN WOJCIK NP
Nurse Practitioner
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 723-9052
DR. SHAWN ASHLEY KACKER DO
Psychiatry & Neurology (Neurology)
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
LINDA MARIE WOLFE-STINE OTR L
Occupational Therapist
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (708) 358-1680
MS. MARY COLLEEN BURKE M.S.CCCSLP
Speech-Language Pathologist
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. AMANDA MUHS SARATSIS MD
Neurological Surgery
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 723-9052
DR. REBECCA HANNAH SPASARI MD
Pediatrics
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330
FRANK VICARI MD
Plastic Surgery
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068
Cook County (847) 318-9330

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 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.

Where is Michael White located?

Michael White practices at 1675 Dempster St Fl 3, Park Ridge, IL 60068. The listed phone number is (708) 684-5580.

What is Michael White's specialty?

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

Is Michael White enrolled in Medicare?

Yes. Michael White is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael White reassigns Medicare benefits to 2 organizations: Fairview Clinics (Farmington, MN) and Fairview Health Services (Burnsville, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael White was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.