Bryan J Phillips, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036098037 Issued in IL

Practice address

718 S Weber Road
Bolingbrook, IL 60490

Phone

(630) 378-4799

Fax

(630) 378-4783

NPI assigned

Jun 22, 2005

Last updated

Jul 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Ophthalmology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan J Phillips MD SCGroup PAC ID 8729026794, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIEFCA
• FHIR API: https://fhir4.healow.com/fhir/r4/GAHCCA/Endpoint/GAHCCA

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.

• Bryan J Phillips MD SC

  dba Phillips Eye Center

  • Ophthalmology Physician
  • Bolingbrook, IL
  • NPI 1104981455
  Medicare reassignment Care Compare group NPD
• West Suburban Eye Associates LLC

  • Ophthalmology Physician
  • Oak Park, IL
  • NPI 1255354601
  Medicare reassignment NPD
• West Suburban Eye Associates LLC

  • Eyewear Supplier
  • River Forest, IL
  • NPI 1235386525
  NPD

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

• Elmhurst Memorial Hospital

  dba Endeavor Health Elmhurst Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1114923497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S WEBER ROAD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60490",
            "telephone_number": "630-378-4799",
            "fax_number": "630-378-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S WEBER ROAD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60490",
            "telephone_number": "630-378-4799",
            "fax_number": "630-378-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRYAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036098037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180039547",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "3970320001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0031600193",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "K46495",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maritza Aidee Perez, DDS
• Melissa Perkins
• Steven Pettey
• Arthur S Pettigrew, MD
• Sajan Philip, PA-C
• Dawn Renee Phillips, M.D.
• Nicole Marie Phillips, RNFA
• Physician at Your Door
• Physicians at Your Door Inc.
• Physicians Careplus Inc

• Ophthalmology Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.

Verify at the official NPI Registry.