NPIMap

Individual provider Active NPI

Phillip NG, MD

  • Nephrology Physician
  • Redwood City, CA
National Provider Identifier
1295766178
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A61233 Issued in CA
Practice address
170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone
(650) 327-8888
Fax
(650) 269-8624
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A61233 CA Primary

Addresses

Primary practice location

170 Alameda de Las Pulgas
Redwood City, CA 94062-2751

Mailing address

170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 327-8888

Other identifiers 1

IdentifierTypeStateIssuer
GR0002540MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040610001074 CA Practitioner - NephrologyPractitioner - Internal Medicine 9739090564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 327-8888

Hospital & facility affiliations

  • DaVita Redwood City Dialysis Dialysis facility, Redwood City, CA, CCN 552665
  • SHC San Carlos Dialysis facility, San Carlos, CA, CCN 052793
  • DaVita San Mateo Mills Dialysis Dialysis facility, San Mateo, CA, CCN 552682
  • Pathways Home Health and Hospice Home health agency, Sunnyvale, CA, CCN 057190
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
74.68 of 100Reported as individual
Quality
47.76
Improvement activities
40
Cost
68.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip NG, M.D., Inc Nephrology CurrentSince Dec 1, 2009 Accepting new patients
Bayside Urgent Care and Family Medical Clinic P C PastSince Sep 1, 2002 Accepting new patients

Locations

2479 E Bayshore Rd
Ste 145
Palo Alto, CA 94303
Phone (650) 327-8888

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

39 Birch St
Ste A
Redwood City, CA 94062
Phone (650) 365-5996

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: phillip.ng@5697051033604.direct.elationemr.com
  • Direct secure messaging: pngmd8648@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1295766178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ALAMEDA DE LAS PULGAS",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622751",
            "telephone_number": "650-327-8888",
            "fax_number": "650-269-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ALAMEDA DE LAS PULGAS",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622751",
            "telephone_number": "650-327-8888",
            "fax_number": "650-269-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A61233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.