Active NPI
Cyril N Philip, MD
- Interventional Pain Medicine Physician
- Lake Geneva, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 55669
- Practice address
- 850 Geneva Parkway N
Ste 100
Lake Geneva, WI 53147-4562 - Phone
- (262) 299-6199
- Fax
- (262) 293-6953
- NPI assigned
- Sep 29, 2008
- Last updated
- Nov 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 55669 | WI | |
| Interventional Pain Medicine Physician | 208VP0014X | 55669 | WI | Primary |
Addresses
Primary practice location
850 Geneva Parkway N
Ste 100
Lake Geneva, WI 53147-4562
Mailing address
850 Geneva Parkway N
Ste 100
Lake Geneva, WI 53147-4562
Phone (262) 299-6199
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cphilip42433@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Interventional Pain Management
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
10222 74TH St
Kenosha, WI 53142-6810
Phone (262) 925-5020
204 S Pine St
Burlington, WI 53105-1914
Phone (419) 221-6717
3620 57TH Ave
Kenosha, WI 53144-4925
Phone (262) 925-5250
5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (419) 221-6717
7200 Washington Ave
Mount Pleasant, WI 53406-6516
Phone (262) 583-0790
850 Geneva Pkwy N
Suite 100
Lake Geneva, WI 53147-4562
Phone (262) 299-6199
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55669 | WI | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Sports and Interventional Spine SC | Interventional Pain Medicine | Current | Accepting new patients |
| Midwest Sports and Interventional Spine SC | Pain Medicine | Current | Accepting new patients |
| Spine and Neuro Health and Wellness Center LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
1954 1st St
Ste 163
Highland Park, IL 60035
2070 Green Bay Rd
Highland Park, IL 60035
Phone (773) 575-5740
4824 Green Bay Rd
Kenosha, WI 53144
Phone (262) 299-6199
800 Geneva Pkwy N
Ste 102
Lake Geneva, WI 53147
Phone (262) 248-4105
850 Geneva Pkwy N
Lake Geneva, WI 53147
Phone (262) 299-6199
850 Geneva Pkwy N
Ste 100
Lake Geneva, WI 53147
Phone (262) 299-6199
Interoperability endpoints
- cphilip42433@direct.myadvocateaurora.org
- cyril.philip@3895.securemail.prognocis.com
- cyril.philip@4028.securemail.prognocis.com
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Kenosha, WI
- NPI 1831770510
-
- Interventional Pain Medicine Physician
- Lake Geneva, WI
- NPI 1740154947
-
- Anesthesiology Physician
- Kenosha, WI
- NPI 1659289916
-
- Ambulatory Surgical Clinic/Center
- Lake Geneva, WI
- NPI 1831858455
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhorn, WI
- NPI 1972628006
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1578713343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 GENEVA PARKWAY N",
"address_2": "STE 100",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474562",
"telephone_number": "262-299-6199",
"fax_number": "262-293-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 GENEVA PARKWAY N",
"address_2": "STE 100",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531474562",
"telephone_number": "262-299-6199",
"fax_number": "262-293-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "CYRIL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "55669",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WI",
"license": "55669",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cphilip42433@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "850 GENEVA PARKWAY N",
"address_2": "STE 100",
"city": "Lake Geneva",
"state": "WI",
"country_code": "US",
"postal_code": "531474562",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "850 GENEVA PARKWAY N",
"address_2": "STE 100",
"city": "Lake Geneva",
"state": "WI",
"country_code": "US",
"postal_code": "531474562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.