Individual provider Active NPI

John Phillips, MD

  • Family Medicine Physician
  • Excelsior Springs, MO
National Provider Identifier
1720666308
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024000964 Issued in MO
Practice address
199 S McCleary Road
Suite 100
Excelsior Springs, MO 64024-1238
Phone
(816) 407-4700
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2024000964 MO Primary

Addresses

Primary practice location

199 S McCleary Road
Suite 100
Excelsior Springs, MO 64024-1238

Mailing address

199 S McCleary Road
Suite 100
Excelsior Springs, MO 64024-1238
Phone (816) 407-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240807002094 MO Practitioner - Family Practice 3870030976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

199 S McCleary Rd
Suite 100
Excelsior Springs, MO 64024-8456
Phone (816) 630-6071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024000964MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Aug 5, 2024 Accepting new patients
New Liberty Hospital Corporation Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
New Liberty Hospital Corporation Family Medicine Current Accepting new patients
New Liberty Hospital Coporation Family Medicine Past Accepting new patients

Locations

199 S McCleary Rd
Ste 100
Excelsior Springs, MO 64024
Phone (816) 407-4700

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: johntony.phillipsmd.p5@direct.nlhc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1720666308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S MCCLEARY ROAD",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241238",
            "telephone_number": "816-407-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S MCCLEARY ROAD",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241238",
            "telephone_number": "816-407-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024000964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.