Individual provider Active NPI

Dennis-Roger Phillip, MD

  • Surgery Physician
  • Huntington, NY
National Provider Identifier
1477512655
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
232970 Issued in NY
Practice address
270 Park Ave
Huntington, NY 11743-2787
Phone
(631) 547-6392
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 232970 NY
Surgery Physician 208600000X 232970 NY Primary

Addresses

Primary practice location

270 Park Ave
Huntington, NY 11743-2787

Mailing address

PO Box 33682
Hartford, CT 06150-3682
Phone (631) 547-6392

Other identifiers 1

IdentifierTypeStateIssuer
02581877MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address D.Roger.Phillip@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20041104000175 NY Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8729041413 Reassigns benefits to 2 organizations
I20171114000272 PA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8729041413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Hospital & facility affiliations

  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC Surgery CurrentSince Dec 1, 2016 Accepting new patients
SBH Physicians, PC Surgery CurrentSince Dec 31, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Susquehanna Physician Services Surgery CurrentSince Sep 5, 2017 Accepting new patients
SBH Physicians, PC CurrentSince Dec 31, 2016 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Nov 6, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 1, 2016 Accepting new patients
Susquehanna Physician Services CurrentSince Sep 5, 2017 Accepting new patients
Westchester Medical Center Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

1 Webster Ave
Ste 305
Poughkeepsie, NY 12601
Phone (845) 431-8733

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 1003
Williamsport, PA 17701
Phone (570) 321-3160

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: d.roger.phillip@wmchealth.cernerdirect.com
  • Direct secure messaging: dennis-rogerphillip@mai.allscriptsdirect.net
  • Direct secure messaging: dphillip19803@sbhny.direct-ci.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 10

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 2

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1477512655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33682",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061503682",
            "telephone_number": "631-547-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-547-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "DENNIS-ROGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "232970",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "232970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581877",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "D.Roger.Phillip@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "270 Park Ave",
            "city": "Huntington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117432787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.