Justin Thomas Philip

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

T6675 Issued in TX

Practice address

8200 Walnut Hill LN
Texas Health Presbyterian Hospital Dallas
Dallas, TX 75231-4426

Phone

(214) 345-6789

NPI assigned

Apr 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Texas Medical School at Houston, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
• Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
• Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: jphilip298087@direct.phhs.org

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.

• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Southwest Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1902896236

  TX

  Medicare reassignment Care Compare group
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Pediatrics Physician
  • Southlake, TX
  • NPI 1275838732
  NPD
• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976
  NPD (past)

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

• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1417152745
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1811951429
  Care Compare affiliation

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1750815841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN",
            "address_2": "TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314426",
            "telephone_number": "214-345-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN",
            "address_2": "TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314426",
            "telephone_number": "214-345-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T6675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gigi Korattikara Philip
• Jake Kuruvilla Philip
• John Philip, MD
• Joseph Varghese Philip, MD
• Justin Philip, PA-C
• Maria Philip, MD
• Mini Philip, NP
• Nancy George Philip, M.D.
• Sheena Merry Philip, D.D.S
• Sini Philip, PNP

• Diagnostic Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.

Verify at the official NPI Registry.