Sherif A Philips, MD
Individual provider Active NPI Specialist · Tamuning, GU
NPI 1487731733 · NPPES record last updated Jun 23, 2008
Key facts
- NPI
- 1487731733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 9501056 (NC)
- Practice address
- 1406 N Marine Corps Dr
Tamuning, GU 96913-4311 - Phone
- (671) 646-3773
- Fax
- (671) 647-2026
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1406 N Marine Corps Dr
Upper Tumon, GU 96913-1406
Phone (671) 647-2029
Hospital & facility affiliations
- U.S. Renal Care Tumon Dialysis
- Guam Memorial Hospital Authority
- Guam Regional Medical City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230001358 | GU | Practitioner - Internal Medicine | 8426096058 | Practice locations: Upper Tumon, GU |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9501056 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Dialysis Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9501056 | NC | Yes |
Addresses
Primary practice location
1406 N Marine Corps Dr
Tamuning, GU 96913-4311
Mailing address
1406 N Marine Corps Dr
Tamuning, GU 96913-4311
Phone (671) 646-3773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8967571 | Medicaid | NC |
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.