Active NPI
Daniel Phillips, M.D.
- Neurology Physician
- Chesterfield, MO
National Provider Identifier
1497813976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R9B29
- Practice address
- 14825 N Outer 40
Suite 330
Chesterfield, MO 63017-2152 - Phone
- (636) 537-0525
- Fax
- (636) 537-0575
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R9B29 | MO | Primary |
Addresses
Primary practice location
14825 N Outer 40
Suite 330
Chesterfield, MO 63017-2152
Mailing address
PO Box 958874
Saint Louis, MO 63195-8874
Phone (636) 537-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364993 | Other | MO | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100701000246 | MO | Practitioner - Neurology | 9537298971 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Washington University School of Medicine, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14825 N Outer 40 Rd
Suite 330
Chesterfield, MO 63017-2152
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9B29 | MO | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1497813976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 958874",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631958874",
"telephone_number": "636-537-0525",
"fax_number": "636-537-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14825 N OUTER 40",
"address_2": "SUITE 330",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172152",
"telephone_number": "636-537-0525",
"fax_number": "636-537-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "R9B29",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "364993",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
- Amy Pfitzinger, PA
- Mark Pfuetze
- Susan Willis Phariss, R.D., L.D.
- Phi Health, LLC
- Nirmol Mary Philip, M.D.
- Krystal Ann Phillips, D.C.
- Megan Lynn Phillips, FNP
- Physical Medicine & Rehabilitation Clinic of St. Louis LLC
- Physical Therapy and Rehabilitation of Maryland Heights
- Physician Anesthesia Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.