DR. HERBERT JR. WHITE (MD) – Internal Medicine Physician, NPI 1578604567
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
22 PREVENTIVE MEDICINE in IN
Provider Addresses for DR. HERBERT JR. WHITE (MD)
PO BOX 185
OLYMPIA FIELDS, IL 604610185
Phone: (708) 819-0007
Fax: (812) 485-6909
Type: Mailing
640 Eskenazi Ave Ste F1-200
Indianapolis, IN 462025173
Phone: (317) 880-6559
Type: Location
PO BOX 637764
CINCINNATI, OH 452637764
Phone: (317) 880-3939
Type: Mailing
879, Joliet Street, Dyer, Lake County, Indiana, 46311, United States
#184
DYER, IN 463111920
Phone: (812) 485-6900
Fax: (812) 485-6909
Type: Location
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: 2012-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20120416000395 | I | Preventive Medicine | IN | 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 60461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| H O S P I T A L I S T | OH | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Internal Medicine, Hospitalist | NM | |
| Internal Medicine | IN | |
| - | IN | |
| Internal Medicine | IN | |
| Hospitalist, Pediatric Medicine | IN |
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