KEVIN MICHAEL WHITE (MD) – Allergy & Immunology Physician, NPI 1942288071
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
390 ALLERGY/IMMUNOLOGY in TX
Provider Addresses for KEVIN MICHAEL WHITE (MD)
9211 BROADWAY ST UNIT 17159
SAN ANTONIO, TX 782177007
Phone: (210) 204-5532
Type: Mailing
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 782365638
Phone: (210) 292-4127
Type: Location
PO BOX 65780
TUCSON, AZ 857285780
Phone:
Type: Mailing
3838 N CAMPBELL AVE BLDG 2
TUCSON, AZ 857191454
Phone: (520) 694-8888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Ardelyx, Inc. ($122).
Total Amount
$122
General + Research + Ownership
Payments
6
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ardelyx, Inc. | $122 |
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: 2025-05-19
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 |
|---|---|---|---|---|
| I20250519001433 | I | Allergy/Immunology | AZ | 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 78217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| - | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Clinical Psychologist | AZ | |
| O P H T H A L M O L O G Y | MN | |
| N E U R O S U R G E R Y | AZ | |
| Internal Medicine | AZ | |
| - | MI | |
| Emergency Medicine | AZ | |
| Nurse Practitioner | AZ |
Reviews
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