Nanette D Phillis, MD, PLLC, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

195745 Issued in NY

Practice address

1815 S Clinton Ave
Suite 340
Rochester, NY 14618-5720

Phone

(585) 461-9500

Fax

(585) 271-1432

NPI assigned

Feb 27, 2006

Sex

Female

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 9

Medicare fee-for-service enrollment

Enrolled in NY

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

Internal Medicine

Education

Eastern Virginia Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
• Ur Medicine Home Care, Certified Services, Inc Home health agency, Webster, NY, CCN 337010
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nanette D Phillis, MD, PLLC

  • Primary Care Clinic/Center
  • Rochester, NY
  • NPI 1588832984
  Medicare reassignment NPD

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

• Genesee Region Home Care Association Inc.

  • Home Health Agency
  • Rochester, NY
  • NPI 1801819271
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation
• Ur Medicine Home Care, Certified Services, Inc.

  • Home Health Agency
  • Webster, NY
  • NPI 1730171547
  Care Compare affiliation

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1225004476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185720",
            "telephone_number": "585-461-9500",
            "fax_number": "585-271-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185720",
            "telephone_number": "585-461-9500",
            "fax_number": "585-271-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIS, MD, PLLC",
        "first_name": "NANETTE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "195745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "P020195745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN",
            "identifier": "412186999",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01563840",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMSCO",
            "identifier": "P010195745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101517BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5269451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DE2348",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ROCHESTER",
            "identifier": "P020195745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "412186999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle A Phillips, PHARMD
• Roslyn Marie Phillips, MHC, CASAC-T
• Stacy J Phillips, MS OTR/L
• Stephen Phillips, DMD
• Valerie J Phillips, PA-C
• Henry Kaufman Philofsky
• Deloris J Phipps, LPN
• Kayia Phipps
• Chittadaphone Phouthavong, RN
• Katherine Phouthavong, N.P.

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.