Active NPI
Jissy Rachel Philip, D.O.
- Family Medicine Physician
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0116025050
- Practice address
- 7217 Telecom Pkwy Ste 100
Garland, TX 75044-2203 - Phone
- (469) 800-2100
- Fax
- (469) 800-2310
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116025050 | VA | Primary |
Addresses
Primary practice location
7217 Telecom Pkwy Ste 100
Garland, TX 75044-2203
Mailing address
7217 Telecom Pkwy Ste 100
Garland, TX 75044-2203
Phone (469) 800-2100
Other names 1
- Dr. Jissy Rachel Thomas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jphilip222623@direct.sw.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4001 Worth St
Dallas, TX 75246-1608
7217 Telecom Pkwy
Garland, TX 75044-2203
Hospital & facility affiliations
- Baylor Scott & White Medical Center Plano
- Baylor Scott and White Medical Center Lake Pointe
- Baylor University Medical Center
- Baylor Scott and White Medical Center McKinney
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116025050 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Family Medicine | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
7217 Telecom Pkwy
Ste 100
Garland, TX 75044
Phone (469) 669-0306
Interoperability endpoints
- jphilip222623@direct.sw.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1548524424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7217 TELECOM PKWY STE 100",
"city": "GARLAND",
"state": "TX",
"postal_code": "750442203",
"telephone_number": "469-800-2100",
"fax_number": "469-800-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7217 TELECOM PKWY STE 100",
"city": "GARLAND",
"state": "TX",
"postal_code": "750442203",
"telephone_number": "469-800-2100",
"fax_number": "469-800-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "JISSY",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116025050",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jphilip222623@direct.sw.org",
"affiliation": "N",
"address_1": "7217 Telecom Pkwy Ste 100",
"city": "Garland",
"state": "TX",
"country_code": "US",
"postal_code": "750442203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JISSY",
"last_name": "THOMAS",
"middle_name": "RACHEL",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.