Individual provider Active NPI

Chad Phillips, M.D.

  • Adult Medicine Physician
  • Tulsa, OK
National Provider Identifier
1053341453
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
23901 Issued in OK
Practice address
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone
(918) 744-3528
Fax
(918) 744-3529
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23901 OK
Adult Medicine Physician 207QA0505X 23901 OK Primary

Addresses

Primary practice location

1923 S Utica Ave
Tulsa, OK 74104-6520

Mailing address

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3528

Other identifiers 1

IdentifierTypeStateIssuer
200032130AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000894 OK Practitioner - Emergency Medicine 6507856457 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sand Springs Medical AssociatesGroup PAC ID 9436210580, 9 clinicians

Practice addresses (Care Compare)

10314 N 138TH E Ave
Suite 203
Owasso, OK 74055-4663
Phone (888) 540-4772

110 N Garfield Ave
Suite 300
Sand Springs, OK 74063-7289
Phone (918) 246-3456

PO Box
Suite 1147
Sand Springs, OK 74063-1147

Hospital & facility affiliations

  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Monarch Hospice of Oklahoma LLC Hospice, Tulsa, OK, CCN 371747
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • Stigler Nursing & Rehab Nursing home, Stigler, OK, CCN 375497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23901OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince May 1, 2010 Accepting new patients
Sand Springs Medical Associates CurrentSince Jun 1, 2024 Accepting new patients
St. John Physicians, Inc. Emergency Medicine CurrentSince May 1, 2010 Accepting new patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Jan 29, 2024 Accepting new patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Guide Point Senior Care, LLC CurrentSince Dec 4, 2025 Accepting new patients
New Care CurrentSince May 19, 2025 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince Oct 10, 2024 Accepting new patients
Haskell Nursing & Rehab LLC Past Accepting new patients
Haskell County Nursing Center Past Accepting new patients
Emergency Medicine Physicians of Davidson County, PLLC Emergency Medicine Past Accepting new patients

Locations

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

10314 N 138th East Ave
Ste 203
Owasso, OK 74055
Phone (479) 461-4036

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

110 N Garfield Ave
Ste 300
Sand Springs, OK 74063
Phone (918) 246-3456

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • Direct secure messaging: chad.phillips@1088364499763204.direct.elationemr.com
  • Direct secure messaging: chad.phillips@929089266843652.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monarch Hospice of OklahomaTulsa, OK, CCN 371747 Hospice W-2 Managing Employee Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1053341453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-744-3528",
            "fax_number": "918-744-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-744-3528",
            "fax_number": "918-744-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "23901",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OK",
            "license": "23901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.