Individual provider Active NPI

Michael Scott Phillips, M.D.

  • Interventional Pain Medicine Physician
  • Cleburne, TX
National Provider Identifier
1306823927
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K2983 Issued in TX
Practice address
829 N Nolan River Rd
Cleburne, TX 76033-7085
Phone
(817) 558-4600
Fax
(817) 468-3438
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K2983 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X K2983 TX
Interventional Pain Medicine Physician 208VP0014X K2983 TX Primary

Addresses

Primary practice location

829 N Nolan River Rd
Cleburne, TX 76033-7085

Mailing address

7100 Oakmont Blvd Ste 205
Fort Worth, TX 76132-3908
Phone (817) 468-4343

Other practice location 1

7100 Oakmont Blvd Ste 205
Fort Worth, TX 76132-3908
Phone (817) 558-4600

Other practice location 2

800 W Arbrook Blvd Ste 120
Arlington, TX 76015-4316
Phone (817) 468-4343

Other practice location 3

7100 Oakmont Blvd Ste 108
Fort Worth, TX 76132-3908
Phone (817) 468-4343

Other identifiers 9

IdentifierTypeStateIssuer
8D2510OtherTXMEDICARE-00606K
8K7832OtherTXMEDICARE-00607K
136902716OtherTXMEDICAID-00607K
8G7059OtherTXBCBS
136902714OtherTXMEDICAID-00606K
136902713OtherTXMEDICAID-00339K
136902717MedicaidTX
8C0801OtherTXMEDICARE-00339K
P00160206OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040810000218 TX Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Pediatric Medicine 6608865779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1001 12TH Ave
Fort Worth, TX 76104-3926
Phone (817) 332-9968

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

7100 Oakmont Blvd
Fort Worth, TX 76132-3908

829 N Nolan River Rd
Privia Medical Group North Texas
Cleburn, TX 76033-7085
Phone (817) 558-4600

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as apm
Quality
85.62
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2983TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Interventional Pain Medicine CurrentSince Oct 1, 2020 Accepting new patients
Texas Health Care, P.L.L.C. Interventional Pain Medicine Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Oct 1, 2020 Accepting new patients
Waxahachie Anesthesia Consultant Services PA Anesthesiology Past Accepting new patients

Locations

800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343

800 W Arbrook Blvd
Ste 250
Arlington, TX 76015
Phone (817) 375-5755

829 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-4600

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7100 Oakmont Blvd
Ste 108
Fort Worth, TX 76132
Phone (817) 370-2657

7100 Oakmont Blvd
Ste 205
Fort Worth, TX 76132
Phone (817) 468-4343

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: michael.phillips.p1@direct.thc.nextgenshare.com

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 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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1306823927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-468-4343",
            "fax_number": "817-468-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N NOLAN RIVER RD",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337085",
            "telephone_number": "817-558-4600",
            "fax_number": "817-468-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Oakmont Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323908",
            "country_code": "US",
            "telephone_number": "817-558-4600",
            "fax_number": "817-468-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Arbrook Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760154316",
            "country_code": "US",
            "telephone_number": "817-468-4343",
            "fax_number": "817-468-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 Oakmont Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323908",
            "country_code": "US",
            "telephone_number": "817-468-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K2983",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K2983",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-00606K",
            "identifier": "8D2510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-00607K",
            "identifier": "8K7832",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-00607K",
            "identifier": "136902716",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G7059",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-00606K",
            "identifier": "136902714",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-00339K",
            "identifier": "136902713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136902717",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-00339K",
            "identifier": "8C0801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00160206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.