Active NPI
Nancy J Phillips, MD
- Anatomic Pathology Physician
- St Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- R8H53
- Practice address
- 1402 S Grand
St Louis, MO 63110 - Phone
- (314) 577-8693
- Fax
- (314) 268-5478
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | R8H53 | MO | Primary |
Addresses
Primary practice location
1402 S Grand
St Louis, MO 63110
Mailing address
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 977-4606
Other practice location 1
6420 Clayton Rd
Saint Louis, MO 63117-1872
Phone (314) 768-8208
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nphillips236930@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | nphillips236930@direct-ehr-ssmhc.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Pathology
- Education
- Medical College of Ohio, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1225 S Grand Blvd
Saint Louis, MO 63104-1016
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8208
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- SSM Health St Mary'S Hospital - St Louis
- SSM Health St. Mary'S Hospital - Jefferson City
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8H53 | MO | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients |
Locations
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101
Interoperability endpoints
- nphillips236930@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1073527552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-977-4606",
"fax_number": "314-977-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-577-8693",
"fax_number": "314-268-5478"
}
],
"practiceLocations": [
{
"address_1": "6420 Clayton Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171872",
"country_code": "US",
"telephone_number": "314-768-8208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NANCY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MO",
"license": "R8H53",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nphillips236930@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "nphillips236930@direct-ehr-ssmhc.com",
"address_1": "1402 S Grand",
"city": "St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "nphillips236930@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1402 S Grand",
"city": "St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.