NPIMap

Individual provider Active NPI

Layne Alexander Phillips, D.O

  • Family Medicine Physician
  • La Grange, IL
National Provider Identifier
1740545789
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136490 Issued in IL
Practice address
1325 Community Memorial Dr
La Grange, IL 60525-2659
Phone
(708) 245-8900
NPI assigned
Jul 5, 2012
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 036136490 IL Primary

Addresses

Primary practice location

1325 Community Memorial Dr
La Grange, IL 60525-2659

Mailing address

1325 Community Memorial Dr
La Grange, IL 60525-2659

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address layne.phillips.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150626000167 IL Practitioner - Family Practice 3274759717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Midwest HealthGroup PAC ID 2769790401, 13 clinicians

Practice addresses (Care Compare)

1325 Community Memorial Dr
La Grange, IL 60525-2659
Phone (708) 245-8900

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Midwest Health Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Adventist Midwest Health CurrentSince Jun 28, 2016 Accepting new patients
Adventist Midwest Health Current Accepting new patients
Adventist Midwest Health Family Medicine CurrentSince Jun 28, 2016 Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

5201 Willow Springs Rd
La Grange Highlands, IL 60525
Phone (630) 323-5214

1325 Memorial Dr
Lagrange Hlds, IL 60525
Phone (708) 245-8900

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

Interoperability endpoints

  • Direct secure messaging: lphillips1240426@adventhealth.direct-ci.com

Organizations & group practices 5

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1740545789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COMMUNITY MEMORIAL DR",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252659",
            "telephone_number": "708-245-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LAYNE",
        "middle_name": "ALEXANDER",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "layne.phillips.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1325 Community Memorial Dr",
            "city": "LA Grange",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605252659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.