David Ryan Phillips, MD, MS

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

01079657A Issued in IN

Practice address

721 W 13TH St Ste 325
Jasper, IN 47546-1857

Phone

(812) 996-5575

NPI assigned

May 26, 2013

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Otolaryngology

Education

Indiana University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dphillips@mhhcc.gwaydirect.com
• Direct secure messaging: dphillips1041251@direct.deaconess.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Deaconess Memorial Medical Center Inc

  dba Dale Family Medicine

  • Family Medicine Physician
  • Dale, IN
  • NPI 1174603153

  Corporate Director

  CMS ownership

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.

• Deaconess Memorial Medical Center Inc

  dba Memorial Healthcare of Huntingburg

  • Emergency Medicine Physician
  • Huntingburg, IN
  • NPI 1114120128
  Medicare reassignment Care Compare group NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1306344817
  Medicare reassignment Care Compare group NPD (past)
• Deaconess Memorial Medical Center Inc

  dba Memorial ENT Associates

  • Otolaryngology Physician
  • Jasper, IN
  • NPI 1316440530
  NPD
• Deaconess Memorial Medical Center Inc

  dba Deaconess Comprehensive Pain Management - Jasper

  • Pain Medicine Physician
  • Jasper, IN
  • NPI 1457164543
  NPD
• Deaconess Specialty Physicians Inc

  • Hematology & Oncology Physician
  • Jasper, IN
  • NPI 1528859782
  NPD
• Deaconess Specialty Physicians Inc

  • Family Medicine Physician
  • Huntingburg, IN
  • NPI 1831980945
  NPD
• University Otolaryngology Associates, Inc.

  • Otolaryngology Physician
  • Indianapolis, IN
  • NPI 1275563447
  NPD (past)

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

• Deaconess Memorial Medical Center, Inc.

  dba Memorial Hospital & Health Care Center

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947
  Care Compare affiliation

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1720425192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST STE 325",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461857",
            "telephone_number": "812-996-5575",
            "fax_number": "812-996-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST STE 325",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461857",
            "telephone_number": "812-996-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-26",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01079657A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Alexandra Courtney Perry
• Mary Peter, MD
• Alex Pfau, D.M.D
• Gregory T Pfister, M.D.
• Phillip R Dawkins MD PC
• Kimberly Jo Phillips, RBT
• Piece by Piece Counseling Center, LLC
• Nikki Michelle Pirtle, COTA
• Playful Healing & Counseling
• Brittany A Potter, RD CDCES

• Otolaryngology Physician in Jasper, IN
• Providers in Jasper, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.