Individual provider Active NPI

Joel Wayne Phillips, M.D.

  • Allergy & Immunology Physician
  • Clearwater, FL
National Provider Identifier
1083724207
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0025848 Issued in FL
Practice address
708 Druid Rd E
Clearwater, FL 33756-3914
Phone
(727) 446-1097
Fax
(727) 441-2195
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0025848 FL
Allergy & Immunology Physician 207K00000X ME0025848 FL Primary

Addresses

Primary practice location

708 Druid Rd E
Clearwater, FL 33756-3914

Mailing address

708 Druid Rd E
Clearwater, FL 33756-3914
Phone (727) 446-1097

Other practice location 1

2445 Tampa Rd Ste C
Palm Harbor, FL 34683-5849
Phone (727) 787-2092

Other identifiers 1

IdentifierTypeStateIssuer
038210800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001412 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7618093923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Family Medicine and Allergy, PAGroup PAC ID 6800912114, 4 clinicians

Practice addresses (Care Compare)

2445 Tampa Rd
Suite C
Palm Harbor, FL 34683-5849
Phone (727) 787-2092

708 Druid Rd E
Clearwater, FL 33756-3914
Phone (727) 446-1097

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0025848FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Family Medicine and Allergy, PA Specialist CurrentSince Jul 22, 2010 Accepting new patients
Pulmonary Associates of Richmond Inc Specialist Past Accepting new patients

Locations

708 Druid Rd E
Clearwater, FL 33756
Phone (727) 446-1097

2445 Tampa Rd
Ste C
Palm Harbor, FL 34683
Phone (727) 787-1221

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24994/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joel.phillips.2@24994.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1083724207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563914",
            "telephone_number": "727-446-1097",
            "fax_number": "727-441-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563914",
            "telephone_number": "727-446-1097",
            "fax_number": "727-441-2195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Tampa Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346835849",
            "country_code": "US",
            "telephone_number": "727-787-2092",
            "fax_number": "833-941-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0025848",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0025848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038210800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.