DR. LEROY CALVIN WHITE (MD) – Emergency Medicine Physician, NPI 1770579096

DR. LEROY CALVIN WHITE (MD) is a healthcare provider. based in Ada, Oklahoma. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 04-34052 (KS). The NPI Number for DR. LEROY CALVIN WHITE (MD) is 1770579096

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEROY CALVIN WHITE (MD)
NPI
1770579096
Phone
(580) 421-4570
Address
1921 STONECIPHER BLVD
Enumeration Date
22 September 2005
Last Update Date
14 September 2016

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5804363980
Graduation Year
1981 (45 years ago)
PAC ID
4880751205
Group Practice PAC ID
8426957523
Professional Enrollment ID
I20110218000440
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for DR. LEROY CALVIN WHITE (MD)

  • Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States

    ADA, OK 74820

    Phone: (580) 421-4570

    Mailing address matches the actual address.

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: 2009-03-30

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
I20090330000095IEmergency MedicineOKTBD

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 74820)

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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: 8426957523View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LEROY CALVIN WHITE (MD)?
DR. LEROY CALVIN WHITE (MD) — NPI 1770579096 — is the standard way to identify this listing.
Can I rely on DR. LEROY CALVIN WHITE (MD) being an active provider?
As of the registry snapshot, DR. LEROY CALVIN WHITE (MD) is marked active.
What healthcare role does DR. LEROY CALVIN WHITE (MD) hold?
Scheduling teams often label DR. LEROY CALVIN WHITE (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LEROY CALVIN WHITE (MD) based?
DR. LEROY CALVIN WHITE (MD) is tied to Ada, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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