NPIMap

Individual provider Active NPI

Gregory Joseph Phillips, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1699705152
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F5328 Issued in TX
Practice address
724 Pennsylvania Ave
Fort Worth, TX 76104-2221
Phone
(817) 336-1200
Fax
(817) 338-4707
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F5328 TX Primary

Addresses

Primary practice location

724 Pennsylvania Ave
Fort Worth, TX 76104-2221

Mailing address

724 Pennsylvania Ave
Fort Worth, TX 76104-2221
Phone (817) 336-1200

Other identifiers 1

IdentifierTypeStateIssuer
131535001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000440 TX Practitioner - Internal MedicinePractitioner - Ophthalmology 6406986561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophthalmic Partners , PAGroup PAC ID 4587578364, 14 clinicians
Fort Worth Medical Specialists PLLCGroup PAC ID 2668797952, 5 clinicians

Practice addresses (Care Compare)

1201 Summit Ave
Fort Worth, TX 76102-4413
Phone (817) 332-2020

5801 Oakbend TR
Suite 100
Fort Worth, TX 76132-3913
Phone (817) 346-2969

724 Pennsylvania Ave
Fort Worth, TX 76104-2221
Phone (817) 336-1200

Hospital & facility affiliations

  • Guardian Healthcare Home health agency, Fort Worth, TX, CCN 677125
  • DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Vcphcs VII, LLC CurrentSince Feb 16, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2022 Accepting new patients
Fort Worth Medical Specialists PLLC Internal Medicine CurrentSince Dec 24, 2014 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5801 Oakbend Trl
Ste 100
Fort Worth, TX 76132
Phone (817) 346-2969

724 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 336-1200

Interoperability endpoints

  • Direct secure messaging: gphillips23275@direct.texashealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AICBBD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1699705152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-336-1200",
            "fax_number": "817-338-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-336-1200",
            "fax_number": "817-338-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F5328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131535001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.