NPIMap

Individual provider Active NPI

Justin T. Phillips, M.D.

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1205150083
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
47289 Issued in KY
Practice address
4950 Norton Healthcare Blvd
Suite 305
Louisville, KY 40241-2845
Phone
(502) 394-6460
Fax
(502) 394-6465
NPI assigned
Mar 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47289 KY Primary

Addresses

Primary practice location

4950 Norton Healthcare Blvd
Suite 305
Louisville, KY 40241-2845

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jphillips39718@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150312001674 KY Practitioner - Neurology 3577889476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3999 Dutchmans LN
Louisville, KY 40207-4744

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2860
Phone (502) 446-6640

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47289KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3999 Dutchmans Ln
Ste 5D
Louisville, KY 40207
Phone (502) 897-1891

3991 Dutchmans Ln
Ste 310
Louisville, KY 40207
Phone (502) 899-6782

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

210 E Gray St
Ste 1003
Louisville, KY 40202
Phone (502) 629-2602

4950 Norton Healthcare Blvd
Ste 305
Louisville, KY 40241
Phone (502) 394-6440

4950 Norton Healthcare Blvd
Ste 303
Louisville, KY 40241
Phone (502) 394-6470

Interoperability endpoints

  • Direct secure messaging: jphillips39718@direct.nortonhealthcare.org

Organizations & group practices 4

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.

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1205150083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NORTON HEALTHCARE BLVD",
            "address_2": "SUITE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412845",
            "telephone_number": "502-394-6460",
            "fax_number": "502-394-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JUSTIN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "47289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jphillips39718@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4950 Norton Healthcare Blvd",
            "address_2": "suite 305",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4950 Norton Healthcare Blvd",
            "address_2": "suite 305",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.