Phillip S. Dickey, M.D

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

027575 Issued in CT

Practice address

1570 Boston Post Rd Ste 300
Guilford, CT 06437-2568

Phone

(203) 772-4001

Fax

(203) 772-4711

NPI assigned

Jul 26, 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 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Neurosurgery

Education

University of North Carolina at Chapel Hill School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12610/brand/1/csg/1/fhir/r4
• Direct secure messaging: phillip.dickey.1@12610.direct.athenahealth.com

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.

• New Haven Neurosurgical Assoc. P.C

  • Neurological Surgery Physician
  • Guilford, CT
  • NPI 1841320108
  Medicare reassignment NPD Authorized official

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

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1194748434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BOSTON POST RD STE 300",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372568",
            "telephone_number": "203-772-4001",
            "fax_number": "203-772-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BOSTON POST RD STE 300",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372568",
            "telephone_number": "203-772-4001",
            "fax_number": "203-772-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "PHILLIP",
        "middle_name": "S.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-11-29",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "027575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001275751",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Delucia, CRNA
• Alayna Demaio, RN
• Alyssa Marie Demonte, OTR/L
• Derek Steinbacher, MD, DMD, Facs, PLLC
• Sarah Destafano
• Sophia Didiano, LCSW
• Edward J Dill Jr., M.D.
• Amanda Dipaolo, RPH
• Howard Lee Distelman, MD
• Susan Wehstein Dobuler, MSW LCSW

• Neurological Surgery Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Neurological Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.