Individual provider Active NPI

Mikelle Phillips, MD

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1184686958
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10005786 Issued in DE
Practice address
1806 N Van Buren St Ste 200
Wilmington, DE 19802-3851
Phone
(302) 652-3771
NPI assigned
Apr 5, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 C10005786 DE Primary

Addresses

Primary practice location

1806 N Van Buren St Ste 200
Wilmington, DE 19802-3851

Mailing address

131 Continental Dr
Suite 200
Newark, DE 19713-4305
Phone (302) 366-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20070126000110 DE Practitioner - Internal Medicine 9830179159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value in Prevention of Delaware LLCGroup PAC ID 0840657516, 3 clinicians

Practice addresses (Care Compare)

1806 N Van Buren St
Suite 200
Wilmington, DE 19802-3851
Phone (302) 652-3771

724 Yorklyn Rd
Suite 125
Hockessin, DE 19707-8731
Phone (302) 239-4097

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bancroft Internal Medicine PA Internal Medicine CurrentSince Nov 10, 2024 Accepting new patients
Value in Prevention of Delaware LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Hockessin Family Medicine LLC Past Accepting new patients
St Francis Hospitalist Group LLC Past Accepting new patients
Bayhealth Hospitalist, LLC Past Accepting new patients
Christiana Medical Group, PA Past Accepting new patients
Christiana Care Health Services Inc Internal Medicine Past Accepting new patients

Locations

724 Yorklyn Rd
Ste 125
Hockessin, DE 19707
Phone (302) 239-4097

1806 N Van Buren St
Ste 200
Wilmington, DE 19802
Phone (302) 652-3771

4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1184686958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CONTINENTAL DR",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134305",
            "telephone_number": "302-366-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N VAN BUREN ST STE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023851",
            "telephone_number": "302-652-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MIKELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10005786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.