Individual provider Active NPI

Zachary Phipps, DO

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1346746286
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2656 Issued in NE
Practice address
550 South Jackson Street Acb, 3Rd Floor
Louisville, KY 40202-1622
Phone
(502) 852-5666
Fax
(502) 852-8980
NPI assigned
Mar 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 2656 NE Primary

Addresses

Primary practice location

550 South Jackson Street Acb, 3Rd Floor
Louisville, KY 40202-1622

Mailing address

1015 N 14TH St Apt 306
Omaha, NE 68102-4261
Phone (303) 356-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220829000780 IA Practitioner - Anesthesiology 8224412036 Reassigns benefits to 1 organization
I20220901001215 NE Practitioner - Anesthesiology 8224412036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rocky Vista University College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, shared by 2 NPIs, 224 clinicians

Practice addresses (Care Compare)

6901 N 72ND St
CHI Health Immanuel
Omaha, NE 68122-1709
Phone (402) 717-4866

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-4866

Hospital & facility affiliations

  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2656NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
CHI Health Clinic Specialty, LLC Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

6901 N 72nd St
Ste 20300
Omaha, NE 68122
Phone (402) 343-4415

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

6901 N 72nd St
Ste 22330
Omaha, NE 68122
Phone (402) 717-4673

Organizations & group practices 3

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1346746286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N 14TH ST APT 306",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024261",
            "telephone_number": "303-356-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SOUTH JACKSON STREET ACB, 3RD FLOOR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-852-5666",
            "fax_number": "502-852-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "ZACHARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "2656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.