MRS. CLEMENCE WHITE (DO) – Gastroenterology Physician, NPI 1154769321
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
70 GASTROENTEROLOGY in HI
Provider Addresses for MRS. CLEMENCE WHITE (DO)
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 968595001
Phone:
Type: Mailing
9300 DEWITT LOOP
FORT BELVOIR, VA 220605285
Phone: (571) 231-2014
Type: Location
110 Akers Farm Rd
Christiansburg, VA 240734863
Phone: (540) 382-9405
Fax: (540) 382-2958
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200316001551 | I | Internal Medicine | GA | TBD |
| I20240329000503 | I | Gastroenterology | VA | TBD |
| I20260302003087 | I | Gastroenterology | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96859)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | CA | |
| - | VA | |
| - | VA | |
| Diagnostic Radiology | OR | |
| Physician Assistant | AZ | |
| - | VA | |
| Physician Assistant | VA | |
| - | VA | |
| - | VA |
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