Thomas Phillips Jr., MD
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Richmond, MO
NPI 1508150830 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1508150830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 04-37926 (KS)
- Practice address
- 902 Wollard Blvd
Richmond, MO 64085-2229 - Phone
- (816) 776-2201
- Fax
- (816) 776-7678
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritas Health Corporation
Practice addresses (Care Compare)
902 Wollard Blvd
Richmond, MO 64085-2229
Phone (816) 772-2201
904 Wollard Blvd
Richmond, MO 64085-2229
Phone 8164705432281
Hospital & facility affiliations
- Ray County Memorial Hospital
- NKC Health
- Shirkey Nursing and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- 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 |
|---|---|---|---|---|
| I20150722005816 | KS | Practitioner - Family Practice | 5092934109 | Reassigns benefits to 1 organization |
| I20151210001846 | MO | Practitioner - Family Practice | 5092934109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015028100 | MO | MD | Family Medicine Physician |
| 04-37926 | KS | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Family Medicine | Current | Accepting new patients |
| Meritas Health Corporation | Current |
Accepting new patients | |
| Meritas Health Corporation | Current |
Accepting new patients | |
| Meritas Health Corporation | Family Medicine | Past | Accepting new patients |
Locations
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
902 Wollard Blvd
Richmond, MO 64085
Phone (816) 772-2201
904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 04-37926 | KS | Yes |
| Family Medicine Physician | 207Q00000X | 2015028100 | MO |
Addresses
Primary practice location
902 Wollard Blvd
Richmond, MO 64085-2229
Mailing address
9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655
Other practice location 1
7450 W Frontage Rd
Merriam, KS 66203-4670
Phone (913) 754-5005
Other providers in Richmond, MO
- Lorie Ann Niffen
- Northstar Wellness LLC
- Daniel Novack
- Nadya Maria Ortega
- Kimberly Park
- Caitlin Priest
- PRN Services LLC
- Lisa Marie Rau
- Ray County Ambulance District
- Ray County Board of Services
All providers in Richmond, MO · Sports Medicine (Family Medicine) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. 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.