Individual provider Active NPI

Scott D Phillips, M.D.

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1376514406
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
30404 Issued in CO
Practice address
730 17TH St
Suite 925
Denver, CO 80202-3580
Phone
(303) 815-1960
Fax
(303) 889-5161
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30404 CO
Hospitalist Physician 208M00000X 30404 CO Primary

Addresses

Primary practice location

730 17TH St
Suite 925
Denver, CO 80202-3580

Mailing address

PO Box 13250
Burton, WA 98013-0250
Phone (303) 815-1960

Other identifiers 2

IdentifierTypeStateIssuer
78133718MedicaidCO
1304047MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 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
I20040527001084 CO Practitioner - Internal MedicinePractitioner - Interventional Radiology 5799676029 Reassigns benefits to 1 organization
I20150828000045 WA Practitioner - Internal MedicinePractitioner - Emergency Medicine 5799676029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.29 of 100Reported as group
Quality
90.36
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30404COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Oct 9, 2011 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 9, 2011 Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 29, 2015 Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 29, 2015 Accepting new patients
Toxicology Associates Prof LLC Specialist PastSince Jul 15, 2015 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

982 E Columbia Ave
Colville, WA 99114
Phone (509) 684-2561

Interoperability endpoints

  • Direct secure messaging: sphillips510131@wm.providencedirect.org
  • Direct secure messaging: sphillips281273@direct.dhha.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1376514406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13250",
            "city": "BURTON",
            "state": "WA",
            "postal_code": "980130250",
            "telephone_number": "303-815-1960",
            "fax_number": "303-889-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 17TH ST",
            "address_2": "SUITE 925",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023580",
            "telephone_number": "303-815-1960",
            "fax_number": "303-889-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "30404",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "30404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78133718",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.