DR. ROBERT L JR. WHITE (MD) – Psychiatry Physician, NPI 1093723496

DR. ROBERT L JR. WHITE (MD) is a healthcare provider. based in Dayton, Ohio. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 01043583A (IN). The NPI Number for DR. ROBERT L JR. WHITE (MD) is 1093723496

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT L JR. WHITE (MD)
NPI
1093723496
Phone
(937) 734-8333
Address
601 S EDWIN C MOSES BLVD
Enumeration Date
3 August 2006
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
9372938300
Graduation Year
1991 (35 years ago)
PAC ID
3173572583
Group Practice PAC ID
7315971066
Professional Enrollment ID
I20190802001105
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. ROBERT L JR. WHITE (MD)

  • 601, South Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45402, United States

    DAYTON, OH 454173424

    Phone: (937) 734-8333

    Fax: (812) 481-5784

    Type: Location

  • 5550 S EAST ST STE C

    INDIANAPOLIS, IN 462271991

    Phone: (317) 780-4080

    Type: Location

  • 1425, Valley View Drive, Jasper, Dubois County, Indiana, 47546, United States

    JASPER, IN 475461870

    Phone: (812) 634-5014

    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: 2005-01-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050112000841IPsychiatryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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 45417)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315971066View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
Nurse PractitionerOH
Psychiatry, Osteopathic Manipulative MedicineOH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Nurse PractitionerOH
P S Y C H I A T R YOH
Physician AssistantOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

What number should I use to identify DR. ROBERT L JR. WHITE (MD) for billing?
Administrative and clinical systems typically use NPI 1093723496 for DR. ROBERT L JR. WHITE (MD).
Is DR. ROBERT L JR. WHITE (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ROBERT L JR. WHITE (MD) as active.
What services align with DR. ROBERT L JR. WHITE (MD)'s listing?
DR. ROBERT L JR. WHITE (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ROBERT L JR. WHITE (MD)?
DR. ROBERT L JR. WHITE (MD) shows a connection to Dayton, Ohio in registry-derived data.
Why is information missing for DR. ROBERT L JR. WHITE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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