Active NPI
Thomas Andrew Phipps, M.D.
- Sports Medicine (Internal Medicine) Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- ME123899
- Practice address
- 25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4475 - Phone
- (407) 254-2500
- Fax
- (407) 423-2789
- NPI assigned
- Oct 21, 2008
- Last updated
- Oct 30, 2019
- 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 |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | ME123899 | FL | Primary |
Addresses
Primary practice location
25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4475
Mailing address
9252 Royal Estates Blvd
Orlando, FL 32836-8907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| II789Y | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
773 Hwy 466
Lady Lake, FL 32159-6340
Phone (239) 768-6396
910 Old Camp Rd
Suite 192
The Villages, FL 32162-5605
Phone (352) 430-2720
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.42 of 100
- Quality
- 38.39
- Improvement activities
- 40
- Cost
- 63.53
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123899 | FL | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness by Physicians, Inc. | Current | Accepting new patients | |
| HC Medical Group, Inc | Current | Accepting new patients | |
| Wellness by Physicians, Inc. | Current | Accepting new patients | |
| Physicians for Quality Healthcare, Inc. | Past | Accepting new patients |
Locations
24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663
6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896
733 Highway 466
Lady Lake, FL 32159
Phone (352) 205-7702
773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864
5668 Strand Ct
Naples, FL 34110
Phone (239) 590-3883
910 Old Camp Rd
Ste 162
The Villages, FL 32162
Phone (352) 430-2720
910 Old Camp Rd
Ste 192
The Villages, FL 32162
Phone (352) 430-2720
4076 E State Road 44
Wildwood, FL 34785
Phone (352) 209-6211
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physicians Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1821459322
-
- Family Health Clinical Nurse Specialist
- The Villages, FL
- NPI 1588980601
-
dba Physicians Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Lady Lake, FL
- NPI 1518488907
-
dba Physicians Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1528353554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1558513564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9252 ROYAL ESTATES BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328368907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST",
"address_2": "SUITE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064475",
"telephone_number": "407-254-2500",
"fax_number": "407-423-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "FL",
"license": "ME123899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "II789Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.