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DR. NATHANIEL EBBETS WHITE MD
NPI 1821558669
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Active since March 20, 2019PECOS Enrolled
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2023, May 23, 2023, Mar 20, 2019 (3 updates tracked since 2019).

About Dr. Nathaniel Ebbets White Md NPPES

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

DR. NATHANIEL EBBETS WHITE MD (NPI 1821558669) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD20685) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1821558669
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. NATHANIEL EBBETS WHITECredential: MD
Location Address593 EDDY ST., CLAVERICK 2Providence, RI 02903
Mailing Address110 Elm StProvidence, RI 02903-4626 · (401) 444-4000
Phone(401) 444-4000
Sole ProprietorNo
Enumeration DateMarch 20, 2019
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1821558669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in RI · MD20685✔ Licensed in WI · 77195
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
593 EDDY ST., Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 19000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-2625 · Fax (414) 266-2635

Other Identifiers 1

Medicaid1821558669WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathaniel Ebbets White Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nathaniel White reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Emergency Medicine
Same address
Emergency Medicine
593 EDDY ST, CLAVERICK 2
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 201 clinicians in this Medicare group
NPI 1962455022 (401) 444-4000
Lifespan Physician Group, Inc.
Same address
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779
The Medical College Of Wisconsin, Inc.
852 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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.

AMANDA BALDARO LCSW
Social Worker (Clinical)
593 EDDY ST.
PROVIDENCE, RI 02903
Providence County (401) 444-4179
KELSEY HECK PA
Physician Assistant
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
DR. DANIEL SHANIN M.D.
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
ELIZABETH ANN KADOW MD
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
MISS KORI ELIZABETH BAINTON PA-C
Physician Assistant
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
SETH MERKER MD
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
CAITLIN KIMBALL AZZO MD
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
MORGAN SEHDEV
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000

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 Nathaniel White's NPI number?

The NPI number for Nathaniel White is 1821558669. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Nathaniel White located?

Nathaniel White practices at 593 Eddy St. Claverick 2, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Nathaniel White's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Nathaniel White enrolled in Medicare?

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

Which organizations bill Medicare for Nathaniel White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel White reassigns Medicare benefits to 3 organizations: Brown Emergency Medicine (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Nathaniel White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel White accept?

Health plans from CareSource (Common Ground Healthcare) and WellSense Health Plan list Nathaniel White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathaniel White was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.