Individual provider Active NPI

Gregory Douglas Phillips, MD

  • Neurology Physician
National Provider Identifier
1588020507
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01079222A Issued in IN
Practice address
Unit 33100
Apo, AE 09180-3100
Phone
(314) 590-7735
NPI assigned
Jan 6, 2016
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 01079222A IN Primary

Addresses

Primary practice location

Unit 33100
Apo, AE 09180-3100

Mailing address

Unit 33100
Apo, AE 09180-3100
Phone (314) 590-7735

Other practice location 1

10900 NE 4th St Ste 2300
Bellevue, WA 98004-5882
Phone (412) 406-7692

Other practice location 2

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-1399

Other practice location 3

206 S Coronado Ave
Espanola, NM 87532-2792
Phone (412) 406-7692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA, SC, WV, OR, MD, VA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20221018002086 PA Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization
I20221018002849 WA Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization
I20221028001743 SC Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization
I20221028002060 WV Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization
I20221118001195 OR Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization
I20230327002861 MD Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization
I20230609000344 VA Practitioner - Neurology 3072855444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Utah School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Neuromonitoring,PLLCGroup PAC ID 9537341003, 6 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500

10900 NE 4TH St
Suite 2300
Bellevue, WA 98004-5882
Phone (412) 406-7629

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-3000

6425 Living PL
Suite 200
Pittsburgh, PA 15206-5122
Phone (412) 406-7692

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Neuromonitoring,PLLC Neurology CurrentSince Jul 12, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Surgimon, LLC Neurology PastSince Jul 3, 2022 Accepting new patients
Surgical Neuromonitoring Associates, Inc. Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

6425 Living Pl
Ste 200
Pittsburgh, PA 15206
Phone (412) 450-6012

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

7288 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (206) 414-7465

10900 NE 4th St
Ste 2300
Bellevue, WA 98004
Phone (412) 406-7629

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: gphillips1019537@direct.umm.edu

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1588020507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "UNIT 33100",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "telephone_number": "314-590-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "UNIT 33100",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "telephone_number": "314-590-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 NE 4th St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980045882",
            "country_code": "US",
            "telephone_number": "412-406-7692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Fitzsimmons Dr",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Coronado Ave",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322792",
            "country_code": "US",
            "telephone_number": "412-406-7692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01079222A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.