Individual provider Active NPI

Sommer Ebdlahad Philips, M.D.

  • Neurology Physician
  • Raleigh, NC
National Provider Identifier
1215355920
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2018-01038 Issued in NC
Practice address
1540 Sunday Dr
Raleigh, NC 27607-6010
Phone
(919) 782-3456
Fax
(919) 783-1441
NPI assigned
Mar 31, 2014
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101267294 VA
Neurology Physician 2084N0400X 2018-01038 NC Primary

Addresses

Primary practice location

1540 Sunday Dr
Raleigh, NC 27607-6010

Mailing address

1540 Sunday Dr
Raleigh, NC 27607-6010
Phone (919) 782-3456

Other practice location 1

1520 Sunday Dr
Raleigh, NC 27607-5253
Phone (919) 782-3456

Other practice location 2

4111 Ben Franklin Blvd
Durham, NC 27704-2141
Phone (919) 782-3456

Other names 1

  • Sommer Ebdlahad Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sebdlahad@rna.medalliesdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210706001079 NC Practitioner - Neurology 2860722865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
65.93
Promoting interoperability
100
Improvement activities
40
Cost
84.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101267294VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurology Associates, P. a. Multi-Specialty CurrentSince Jun 14, 2021 Accepting new patients

Locations

4111 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 782-3456

1520 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456

1540 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25810/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sommer.ebdlahad.3@25810.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1215355920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076010",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076010",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Sunday Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276075253",
            "country_code": "US",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4111 Ben Franklin Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042141",
            "country_code": "US",
            "telephone_number": "919-782-3456",
            "fax_number": "919-783-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "SOMMER",
        "middle_name": "EBDLAHAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101267294",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2018-01038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sebdlahad@rna.medalliesdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1540 Sunday Dr",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SOMMER",
            "last_name": "EBDLAHAD",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.