Individual provider Active NPI

Virginia Christine Phipps, DO

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1083690416
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS13320 Issued in FL
Practice address
600 Heritage Dr Ste 210
Jupiter, FL 33458-3097
Phone
(484) 626-1279
NPI assigned
Dec 19, 2005
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229269 NY
Internal Medicine Physician 207R00000X OS13320 FL Primary

Addresses

Primary practice location

600 Heritage Dr Ste 210
Jupiter, FL 33458-3097

Mailing address

1095 Military TRL # 1069
Jupiter, FL 33458-7000
Phone (484) 626-1279

Other identifiers 1

IdentifierTypeStateIssuer
02459447MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080909000049 PA Practitioner - HospitalistPractitioner - Internal Medicine 5294726477 Reassigns benefits to 1 organization
I20170206001712 NY Practitioner - HospitalistPractitioner - Internal Medicine 5294726477 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Jul 19, 2021 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Citylife-PA, PC Past Accepting new patients
Ny Acute Care Specialists PC Past Accepting new patients
Beth Israel Medical Center Internal Medicine Past Accepting new patients
Bimc Faculty Practice Internal Medicine Past Accepting new patients
Back to Health Rehab & Wellness, Inc. PastSince Jan 24, 2024 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

515 Main St
Olean, NY 14760
Phone (716) 373-2600

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Interoperability endpoints

  • Direct secure messaging: vphipps@direct.excelahealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1083690416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MILITARY TRL # 1069",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587000",
            "telephone_number": "484-626-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 210",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583097",
            "telephone_number": "484-626-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "VIRGINIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS13320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.