Kaylan Sainath Phillips, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61449723 Issued in WA

Practice address

617 Scoon Rd
Sunnyside, WA 98944-1031

Phone

(509) 837-8200

NPI assigned

Jun 5, 2023

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yakima Neighborhood Health ServicesGroup PAC ID 6709786585, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaylan.phillips.p8@direct.ynhs.nextgenshare.com

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.

• Yakima Neighborhood Health Services

  dba Neighborhood Health Terrace Heights

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1750985727
  Medicare reassignment Care Compare group NPD
• Yakima Neighborhood Health Services

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1225085624
  NPD
• Yakima Neighborhood Health Services

  dba Neighborhood Connections Annex

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1285456772
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1164116281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2605",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072605",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 SCOON RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441031",
            "telephone_number": "509-837-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KAYLAN",
        "middle_name": "SAINATH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61449723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Oseguera
• Ednita Palacios, INTERPRETER
• Patrick J Corbett P S
• Maria DJ Perez
• Ramon Perez Jr., PA-C
• Ana L Piliado Alfaro
• Pine Family Inc
• Pine Family Pharmacy LLC (Doctor's Pharmacy)
• Pine Family Practice LLC
• Mary Lou Pine, PA-C

• Optometrist in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.