Active NPI
Ean Phillips
- Physician Assistant
- Pinecrest, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Doctors Hospital
- West Kendall Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Orthopedics, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Orthopedics, LLC | Current | 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
- ean.phillips@18986244112388.direct.elationemr.com
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Coral Gables, FL
- NPI 1700072535
-
- Durable Medical Equipment & Medical Supplies
- Miami Gardens, FL
- NPI 1386333144
-
- Specialist
- Miami, FL
- NPI 1891893343
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
-
- General Acute Care Hospital
- Miami, FL
- NPI 1417279936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.