Maryam Phillips, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME113946 Issued in FL

Practice address

601 E Altamonte Dr Ste 120
Altamonte Springs, FL 32701-4802

Phone

(407) 900-0613

Fax

(407) 393-5504

NPI assigned

May 17, 2010

Reactivated

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryam.phillips.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1447578372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 LAKEVIEW DR",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302009",
            "telephone_number": "407-900-0613",
            "fax_number": "407-393-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ALTAMONTE DR STE 120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014802",
            "telephone_number": "407-900-0613",
            "fax_number": "407-393-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Maitland Summit Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328105915",
            "country_code": "US",
            "telephone_number": "407-200-2759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Fern Park",
            "state": "FL",
            "postal_code": "327302009",
            "country_code": "US",
            "telephone_number": "407-900-0613",
            "fax_number": "407-393-5504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 Maitland Summit Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328105915",
            "country_code": "US",
            "telephone_number": "407-200-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "deactivation_date": "2021-03-25",
        "reactivation_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Specialists of Central Florida
• Pharmex
• PHCS, LLC
• Rachel Lynne Phelos
• Allison Nicole Phillips, MA
• Russell Phillips, MA
• Physician Advisors LLC
• Physician'S Pathology Services, PA
• Physicians Alliance Corp
• Physicians Alliance Corp of Brevard

• Family Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.

Verify at the official NPI Registry.