Individual provider Active NPI

Steven L Phillips, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Reno, NV
National Provider Identifier
1285646240
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
6596 Issued in NV
Practice address
781 Mill St
Reno, NV 89502-1320
Phone
(775) 398-1981
Fax
(775) 398-1984
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 6596 NV Primary

Addresses

Primary practice location

781 Mill St
Reno, NV 89502-1320

Mailing address

781 Mill St
Reno, NV 89502-1320
Phone (775) 398-1981

Other identifiers 1

IdentifierTypeStateIssuer
002016436MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20090112000057 NV Practitioner - Geriatric MedicinePractitioner - Internal Medicine 4486672128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lyon Health Center IncGroup PAC ID 0648178533, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6596COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South L Yon Health Center, Inc. Past Accepting new patients
Phillips and Miller LTD Geriatric Medicine PastSince Feb 1, 2001 Accepting new patients

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 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1285646240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021320",
            "telephone_number": "775-398-1981",
            "fax_number": "775-398-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021320",
            "telephone_number": "775-398-1981",
            "fax_number": "775-398-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STEVEN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "6596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016436",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.