Individual provider Active NPI

Ean Phillips

  • Physician Assistant
  • Pinecrest, FL
National Provider Identifier
1013531177
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113414 Issued in FL
Practice address
13101 S Dixie Hwy Ste 400
Pinecrest, FL 33156-6530
Phone
(786) 467-5753
NPI assigned
Jun 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9113414 FL Primary

Addresses

Primary practice location

13101 S Dixie Hwy Ste 400
Pinecrest, FL 33156-6530

Mailing address

PO Box 100905
Atlanta, GA 30384-2727
Phone (786) 594-6880

Other practice location 1

1150 Campo Sano Ave Fl 1
Coral Gables, FL 33146-1174
Phone (786) 268-6200

Other practice location 2

15955 SW 96th St Ste 401
Miami, FL 33196-1273
Phone (786) 467-3430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EAN09818@cerner.baptisthealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914001275 FL Practitioner - Physician Assistant 3274951827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Orthopedics, LLCGroup PAC ID 9335228899, 69 clinicians

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

13101 S Dixie Hwy
Suite 400
Pinecrest, FL 33156-6530
Phone (786) 467-5753

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Sep 21, 2022 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Sep 21, 2022 Accepting new patients
Baptist Health Medical Group Physicians LLC Past Accepting new patients

Locations

1150 Campo Sano Ave
Fl 1
Coral Gables, FL 33146
Phone (502) 852-8905

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

13101 S Dixie Hwy
Ste 400
Pinecrest, FL 33156
Phone (786) 467-5700

6200 SW 72nd St
Ste 602
South Miami, FL 33143
Phone (786) 662-0600

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: ean.phillips@18986244112388.direct.elationemr.com
  • Direct secure messaging: ean09818@cerner.baptisthealth.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1013531177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842727",
            "telephone_number": "786-594-6880",
            "fax_number": "352-273-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 S DIXIE HWY STE 400",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566530",
            "telephone_number": "786-467-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Campo Sano Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331461174",
            "country_code": "US",
            "telephone_number": "786-268-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15955 SW 96th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961273",
            "country_code": "US",
            "telephone_number": "786-467-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EAN09818@cerner.baptisthealth.net",
            "affiliation": "N",
            "address_1": "13101 S Dixie Hwy Ste 400",
            "city": "Pinecrest",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331566530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

Verify at the official NPI Registry.