Active NPI
Andrew J Philips, MD
- Ophthalmology Physician
- Bala Cynwyd, PA
National Provider Identifier
1619027729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD020841E
- Practice address
- Two Bala Plaza
Suite Il35
Bala Cynwyd, PA 19004 - Phone
- (610) 667-6685
- Fax
- (610) 667-7909
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD020841E | PA | Primary |
Addresses
Primary practice location
Two Bala Plaza
Suite Il35
Bala Cynwyd, PA 19004
Mailing address
PO Box 1135
Bala Cynwyd, PA 19004
Phone (610) 667-6685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00904054 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Ophthalmology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 E City Ave
Il 35
Bala Cynwyd, PA 19004-1509
Phone (610) 667-6685
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020841E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cataract and Primary Eye Care Service, LP | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Bala Cynwyd, PA
- NPI 1730456237
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1417991720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317513600000",
"number": "1619027729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1135",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "610-667-6685",
"fax_number": "610-667-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TWO BALA PLAZA",
"address_2": "SUITE IL35",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "610-667-6685",
"fax_number": "610-667-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPS",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2011-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD020841E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00904054",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
- Philadelphia Counseling Center LLC
- Philadelphia Health Associates-Pediatrics, PC
- Philadelphia Psychiatric Consultation Service
- Philadelphia Smart Pain & Wellness, P.C.
- Philia Physio LLC
- Rita M. Phillips, M.S.S.
- Phoenix Rising Home Care LLC
- Nancy J Pickering, MD
- Jeffrey M. Pilchman, M.D.
- Eva Frances Placentra Sesso, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2011; 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.