Individual provider Active NPI

Andrew F Philip, M.D.

  • Surgery Physician
  • Silvis, IL
National Provider Identifier
1093912818
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.133794 Issued in IL
Practice address
855 Illini Dr Ste 304
Silvis, IL 61282-2904
Phone
(309) 281-2120
Fax
(309) 281-2129
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 41268 IA
Surgery Physician 208600000X 036.133794 IL Primary

Addresses

Primary practice location

855 Illini Dr Ste 304
Silvis, IL 61282-2904

Mailing address

855 Illini Dr Ste 304
Silvis, IL 61282-2904
Phone (309) 281-2120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.philip@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20131111000867 IL Practitioner - General Surgery 5991945081 Reassigns benefits to 3 organizations
I20150828000816 IA Practitioner - General Surgery 5991945081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Chicago, Pritzker School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis
Davenport, IA 52803-2459
Phone (563) 421-1000

855 Illini Dr
Suite 304
Silvis, IL 61282-2904
Phone (309) 281-2120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux33
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41268IAMDSurgery Physician
036.133794ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Surgery CurrentSince Jan 1, 2020 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Oct 23, 2025 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Oct 23, 2025 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Genesis Medical Center, Aledo Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1351 W Central Park Ave
Ste 4200
Davenport, IA 52804

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

855 Illini Dr
Ste 304
Silvis, IL 61282
Phone (309) 281-2120

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: andrew.philip@direct.genesishealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1093912818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR STE 304",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822904",
            "telephone_number": "309-281-2120",
            "fax_number": "309-281-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ILLINI DR STE 304",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822904",
            "telephone_number": "309-281-2120",
            "fax_number": "309-281-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "ANDREW",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "41268",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.133794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.philip@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "855 Illini Dr Ste 304",
            "city": "Silvis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612822904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.