Active NPI
Chad Phillips, M.D.
- Adult Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 23901
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200032130A | Medicaid | OK |
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
Enrollment records 1
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
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
- Monarch Hospice of Oklahoma LLC
- McAlester Regional Health Center
- Stigler Nursing & Rehab
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23901 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Sand Springs Medical Associates | Current | Accepting new patients | |
| St. John Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Oklahoma TCS LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Oklahoma, Inc. | Emergency Medicine | Current | Accepting new patients |
| Guide Point Senior Care, LLC | Current | Accepting new patients | |
| New Care | Current | Accepting new patients | |
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | 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
- chad.phillips@1088364499763204.direct.elationemr.com
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Monarch Hospice of Oklahoma | 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.
-
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1346085644
W-2 Managing Employee
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.
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1497922496
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Geriatric Medicine (Family Medicine) Physician
- Owasso, OK
- NPI 1306718457
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1043932486
-
- Emergency Medicine Physician
- Ponca City, OK
- NPI 1528040722
-
- Community Health Clinic/Center
- Owasso, OK
- NPI 1558157107
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Skilled Nursing Facility
- Stigler, OK
- NPI 1144227950
-
- Skilled Nursing Facility
- Stigler, OK
- NPI 1316713043
-
- Emergency Medicine Physician
- Lexington, NC
- NPI 1629017504
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Enid, OK
- NPI 1174519102
-
- Rural Acute Care Hospital
- McAlester, OK
- NPI 1316940034
-
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1346085644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.