Individual provider Active NPI

Rebecca Catherine Philips, M.D.

  • Dermatopathology Physician
  • Houston, TX
National Provider Identifier
1467711564
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
Q8774 Issued in TX
Practice address
6560 Fannin St Ste 1112
Houston, TX 77030-2714
Phone
(281) 426-0909
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X Q8774 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1112
Houston, TX 77030-2714

Mailing address

1501 Broadway St
Galveston, TX 77550-4906
Phone (409) 763-2452

Other practice location 1

1501 Broadway St
Galveston, TX 77550
Phone (409) 763-2452

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
I20160712002533 TX Practitioner - Dermatology 0749572741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galveston Dermatology PAGroup PAC ID 2163464843, 3 clinicians

Practice addresses (Care Compare)

6560 Fannin St
Suite Scurlock
Houston, TX 77030-2761
Phone (281) 426-0909

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions44
Skin biopsy37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galveston Dermatology, P.a. Dermatopathology CurrentSince Oct 15, 2019 Accepting new patients
Galveston Dermatology, P.a. CurrentSince Oct 15, 2019 Accepting new patients
Dermopath Laboratories, L.L.C. Current Accepting new patients
Utmb Faculty Group Practice CurrentSince Jun 22, 2016 Accepting new patients

Locations

1005 Harborside Dr
Fl 5
Galveston, TX 77555
Phone (409) 747-3376

1501 Broadway St
Galveston, TX 77550
Phone (409) 763-2452

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6560 Fannin St
Ste 1160
Houston, TX 77030
Phone (713) 594-1006

6560 Fannin St
Ste 1112
Houston, TX 77030
Phone (281) 426-0909

Interoperability endpoints

  • Direct secure messaging: rebecca.philips.1@28885.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1467711564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504906",
            "telephone_number": "409-763-2452",
            "fax_number": "409-763-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302714",
            "telephone_number": "281-426-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77550",
            "country_code": "US",
            "telephone_number": "409-763-2452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "REBECCA",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "Q8774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.