Randall Joseph Phillips, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01042709 Issued in IN

Practice address

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233

Phone

(260) 432-1568

Fax

(260) 432-4969

NPI assigned

Jan 27, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in IN, MI2 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

Specialty

Diagnostic Radiology

Education

University of Wisconsin School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Ella E M Brown Charitable CircleGroup PAC ID 1254228745, shared by 6 NPIs, 172 clinicians

Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians

Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians

Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
• Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
• Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
• Marion General Hospital Hospital, Marion, IN, CCN 150011
• The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389
  Medicare reassignment Care Compare group NPD
• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1891570537
  Medicare reassignment Care Compare group NPD
• Pacific Imaging Associates LLC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1265137574

  IN

  Medicare reassignment Care Compare group NPD
• Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1073584587

  MI

  Medicare reassignment Care Compare group
• X-Ray Physicians of Shelbyville PC

  • Diagnostic Radiology Physician
  • Shelbyville, IN
  • NPI 1144351347

  MI

  Medicare reassignment Care Compare group
• Ella E M Brown Charitable Circle

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467

  IN

  Medicare reassignment NPD
• Ella E M Brown Charitable Circle

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1366591794
  Medicare reassignment NPD
• Direct Imaging LLC

  • Radiology Clinic/Center
  • Fort Wayne, IN
  • NPI 1285177980
  NPD
• Greene County General Hospital

  • Hospitalist Physician
  • Linton, IN
  • NPI 1942703004

  Diagnostic Radiology

  NPD
• Henry County Memorial Hospital

  • Internal Medicine Physician
  • New Castle, IN
  • NPI 1760800155
  NPD
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1952452815
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD

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

• Adams County Memorial Hospital

  • Critical Access Hospital
  • Decatur, IN
  • NPI 1689696148
  Care Compare affiliation
• Lutheran Musculoskeletal Center LLC

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1174706576
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
  • NPI 1770679201
  Care Compare affiliation
• Marion General Hospital

  • Nutrition Support Registered Nurse
  • Marion, IN
  • NPI 1861578072

  Hospital

  Care Compare affiliation
• Marion General Hospital

  • Land Ambulance
  • Marion, IN
  • NPI 1932295466

  Hospital

  Care Compare affiliation
• Warsaw Health System LLC

  • General Acute Care Hospital
  • Warsaw, IN
  • NPI 1164475711
  Care Compare affiliation
• Ella E. M. Brown Charitable Circle

  • General Acute Care Hospital
  • Marshall, MI
  • NPI 1861475360
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1124099395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RANDALL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01042709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389260",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124099395",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Leon Phillips II, DO
• Heather Phillips, LMFT
• John R Phillips
• Kelly Phillips, BCBA
• Kiarra Phillips
• Rhonda L Phillips, DO
• Robert Arthur Phillips II
• Sheri Lynn Phillips, BSN
• Phoenix Associates Inc.
• Phoenix Social Work Center, Inc.

• Diagnostic Radiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.