ANGELA BROAD WHITE MD
NPI 1669905600
Emergency Medicine in Tuba City, AZ
About Angela Broad White Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA BROAD WHITE MD (NPI 1669905600) is an individual emergency medicine provider in Tuba City, Arizona, licensed in California (A159782) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angela Broad White Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Angela White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tuba City, AZ 86045
- Reassigned Medicare billing, Texas enrollment
- 540 clinicians in this Medicare group
Delano, CA 93215
- Reassigned Medicare billing, California enrollment
- 301 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TUBA CITY, AZ 86045
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 Angela White's NPI number?
The NPI number for Angela White is 1669905600. It was assigned to this individual provider in the NPPES registry on April 6, 2017.
Where is Angela White located?
Angela White practices at 167 N Main St, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.
What is Angela White's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Angela White enrolled in Medicare?
Yes. Angela 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.
Which organizations bill Medicare for Angela White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela White reassigns Medicare benefits to 2 organizations: Tuba City Regional Health Care Corporation (Tuba City, AZ) and Team Physicians Of California Medical Group Inc (Delano, CA). 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 Angela 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 Angela White was last updated on February 18, 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.
# Angela Broad White, MD · NPI 1669905600
Emergency Medicine physician in Tuba City, Arizona. Individual provider, active in the CMS NPPES registry since April 6, 2017.
## Identity
- **NPI:** 1669905600 (Entity type: Individual)
- **Enumerated:** April 6, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A159782 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 167 N MAIN ST, Tuba City, AZ 86045-0600
- **Phone:** (928) 283-2501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tuba City Regional Health Care Corporation (NPI 1548294424, Tuba City, AZ); Team Physicians Of California Medical Group Inc (NPI 1447288345, Delano, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** February 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669905600) · Data from the CMS NPPES public registry.