Individual provider Active NPI

Thomas Andrew Phipps, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Orlando, FL
National Provider Identifier
1558513564
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
ME123899 Issued in FL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
II789YOtherFLMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105002625 FL Practitioner - Internal MedicinePractitioner - Sports Medicine 1355487109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness by Physicians IncGroup PAC ID 4688966260, 10 clinicians

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 100Reported as group
Quality
38.39
Improvement activities
40
Cost
63.53

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123899FLMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness by Physicians, Inc. CurrentSince Sep 24, 2020 Accepting new patients
HC Medical Group, Inc CurrentSince Oct 2, 2023 Accepting new patients
Wellness by Physicians, Inc. CurrentSince Sep 24, 2020 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.

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

Verify at the official NPI Registry.