NPIMap

Individual provider Active NPI

Ronald S Phillips, DO

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1154388874
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0342 Issued in SC
Practice address
2 Roper Corners Circle
Greenville, SC 29616-4250
Phone
(864) 281-9999
Fax
(864) 281-9990
NPI assigned
Apr 27, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0342 SC Primary

Addresses

Primary practice location

2 Roper Corners Circle
Greenville, SC 29616-4250

Mailing address

2 Roper Corners Circle
PO Box 24250
Greenville, SC 29616-4250
Phone (864) 281-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000078 SC Practitioner - Internal Medicine 7618954678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Buena Vista Way
Suite a
Greenville, SC 29615-5092
Phone (864) 312-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0342SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Choice Medical, PA Internal Medicine CurrentSince Oct 16, 2011 Accepting new patients
Carolina Medical Center Internal Medicine PastSince Jul 7, 2004 Accepting new patients

Locations

23 Buena Vista Way
Greenville, SC 29615

23 Buena Vista Way
#A
Greenville, SC 29615
Phone (864) 312-3388

Organizations & group practices 2

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.

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1154388874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIRCLE",
            "address_2": "PO BOX 24250",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296164250",
            "telephone_number": "864-281-9999",
            "fax_number": "864-281-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROPER CORNERS CIRCLE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296164250",
            "telephone_number": "864-281-9999",
            "fax_number": "864-281-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RONALD",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.