Individual provider Active NPI

Lisa Phillips, CCC

  • Audiologist
  • Syracuse, NY
National Provider Identifier
1093831968
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001281-1 Issued in NY
Practice address
3906 E Genesee St
Syracuse, NY 13214-1934
Phone
(315) 251-1093
Fax
(315) 251-1571
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001281-1 NY Primary

Addresses

Primary practice location

3906 E Genesee St
Syracuse, NY 13214-1934

Mailing address

3906 E Genesee St
Syracuse, NY 13214-1934
Phone (315) 251-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000852 NY Practitioner - Qualified Audiologist 7416904123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse ENT Surgeons PLLCGroup PAC ID 4486553625, 9 clinicians

Practice addresses (Care Compare)

3906 E Genesee St
Dewitt, NY 13214-1934

Merit-based Incentive Payment System (MIPS)

Final score
88.19 of 100Reported as group
Quality
83.06
Promoting interoperability
99
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001281NYMDMental Health Counselor
001281-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse ENT Surgeons PLLC CurrentSince Oct 27, 2014 Accepting new patients

Locations

3906 E Genesee St
Syracuse, NY 13214
Phone (315) 251-1093

Interoperability endpoints

  • Direct secure messaging: lphillips@syrentsurgeons.medentdirect.com

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1093831968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-251-1093",
            "fax_number": "315-251-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-251-1093",
            "fax_number": "315-251-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LISA",
        "credential": "CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001281-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.