Active NPI
Zachary Phipps, DO
- Anesthesiology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2656
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 LLC
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
- CHI Health Mercy Council Bluffs
- Nebraska Spine Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2656 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| CHI Health Clinic Physician Enterprise-Anesthesia LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356858419
-
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1639687114
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
- Special Hospital
- Omaha, NE
- NPI 1649595448
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.