Barry S Phillips, M.D.
Individual provider Active NPI Pediatrics Physician · Newburgh, IN
NPI 1124021571 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1124021571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01044946A (IN)
- Practice address
- 4111 Gateway Blvd
Newburgh, IN 47630-8954 - Phone
- (812) 853-5300
- Fax
- (812) 858-4660
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Deaconess Hospital Inc |
Hospital | Corporate Director | Oct 1, 2014 |
| Deaconess Clinic I |
Rural health clinic | Corporate Director | Nov 20, 2008 |
| Deaconess Clinic Oakland City |
Rural health clinic | Corporate Director | Oct 1, 2015 |
| Deaconess Clinic Sherman Drive |
Rural health clinic | Corporate Director | Oct 1, 2015 |
| Deaconess Clinic Ft. Branch |
Rural health clinic | Corporate Director | Oct 1, 2015 |
| Deaconess Clinic Vail Street |
Rural health clinic | Corporate Director | Oct 1, 2015 |
| Deaconess Clinic Sebree |
Rural health clinic | Corporate Director | Oct 1, 2015 |
| Deaconess Clinic Dixon RHC |
Rural health clinic | Corporate Director | Oct 1, 2015 |
| Deaconess Clinic Morganfield |
Rural health clinic | Corporate Director | Oct 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060524000065 | IN | Practitioner - Pediatric Medicine | 6507877909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044946A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Pediatrics | Current |
Accepting new patients |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Pediatrics | Current |
Accepting new patients |
| Deaconess Hospital Inc | Past |
Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701
4111 Gateway Blvd
Newburgh, IN 47630
Phone (812) 853-5300
4133 Gateway Blvd
Ste 220
Newburgh, IN 47630
Phone (812) 426-9459
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Interoperability endpoints
- bphillips2003@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01044946A | IN | Yes |
Addresses
Primary practice location
4111 Gateway Blvd
Newburgh, IN 47630-8954
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 853-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200095900 | Medicaid | IN | |
| 000000067636 | Other | IN | BCBS PIN |
Other providers in Newburgh, IN
- Barbra Shea Perkins
- Rachel Anne Perry
- Asianna Peterson
- Thea Petry
- Faith Phelps
- Jonathan Phillips
- Physicians' Health Group, LLC
- Crystal Piper
- Desere Pitman
- Brittany Winona Plahn
All providers in Newburgh, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.