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DR. KENNETH SAMUEL WHITE M.D.
NPI 1609877836
Surgery - Plastic and Reconstructive Surgery in Wilmington, NC

Active since August 10, 2005PECOS Enrolled
1404 COMMONWEALTH DR, WILMINGTON, NC 28403(910) 343-0119(910) 343-8983 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Samuel White M.d. NPPES

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

DR. KENNETH SAMUEL WHITE M.D. (NPI 1609877836) is an individual plastic and reconstructive surgery provider in Wilmington, North Carolina, licensed in North Carolina (28378) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609877836
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. KENNETH SAMUEL WHITECredential: M.D.
Location Address1404 COMMONWEALTH DRWilmington, NC 28403-1473
Mailing Address1404 Commonwealth DrWilmington, NC 28403-1473 · (910) 343-0119 · Fax (910) 343-8983
Phone(910) 343-0119
Fax(910) 343-8983
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJanuary 18, 2011
✔ NPI 1609877836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NC · 28378
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1404 COMMONWEALTH DR, Wilmington, NC 28403
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Other Names 1

Professional Name (2)Dr. Kenneth White M.d.

Other Identifiers 1

Medicare UPINC87720NC

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. Kenneth Samuel White M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services15 patients

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 Kenneth White's NPI number?

The NPI number for Kenneth White is 1609877836. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Dr. Kenneth White M.D..

Where is Kenneth White located?

Kenneth White practices at 1404 Commonwealth Dr, Wilmington, NC 28403. The listed phone number is (910) 343-0119.

What is Kenneth White's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Kenneth White enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth White was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.