Individual provider Active NPI

William Russell Phipps, M.D.

  • Surgical Critical Care Physician
  • Sebastian, FL
National Provider Identifier
1295758779
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME133891 Issued in FL
Practice address
12920 US Highway 1 Ste a
Sebastian, FL 32958-3772
Phone
(321) 727-7992
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 35088267 OH
Trauma Surgery Physician 2086S0127X 35088267 OH
Surgical Critical Care Physician 2086S0102X ME133891 FL Primary
Surgery Physician 208600000X 35088267 OH

Addresses

Primary practice location

12920 US Highway 1 Ste a
Sebastian, FL 32958-3772

Mailing address

12920 US Highway 1 Ste a
Sebastian, FL 32958-3772
Phone (321) 727-7992

Other identifiers 1

IdentifierTypeStateIssuer
102517900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181219000730 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 5092711747 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Northeastern Ohio University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521
Phone (615) 432-4110

Hospital & facility affiliations

  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088267OHMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 13, 2022 Accepting new patients
Steward Medical Group, Inc. Surgery CurrentSince Jun 13, 2022 Accepting new patients
Nuview Telehealth, LLC CurrentSince Oct 25, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Intensive Care Consortium Inc CurrentSince Oct 20, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Orlando Health Medical Group Inc Surgical Critical Care CurrentSince Mar 1, 2025 Accepting new patients
Continuum Medical Solutions, LLC CurrentSince Feb 1, 2023 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

12920 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 228-9808

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

Interoperability endpoints

  • Direct secure messaging: wphipps20615@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: wphipps296962@direct.tgh.org
  • Direct secure messaging: william.phipps@hca4.eclinicaldirectplus.com

Organizations & group practices 9

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 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1295758779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 US HIGHWAY 1 STE A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583772",
            "telephone_number": "321-727-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 US HIGHWAY 1 STE A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583772",
            "telephone_number": "321-727-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "35088267",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OH",
            "license": "35088267",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME133891",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35088267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102517900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.