NPIMap

Individual provider Active NPI

Jonathan Phillips, DO

  • Internal Medicine Physician
  • Newburgh, IN
National Provider Identifier
1770088767
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02006774A Issued in IN
Practice address
4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone
(812) 858-9400
Fax
(812) 858-9571
NPI assigned
Mar 29, 2018
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 02006774A IN Primary
Hospitalist Physician 208M00000X 02006774A IN

Addresses

Primary practice location

4015 Gateway Blvd
Newburgh, IN 47630-8925

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 858-9400

Other practice location 1

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-3036

Other practice location 2

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200727000574 KY Practitioner - Internal Medicine 6901134717 Reassigns benefits to 1 organization
I20220725002294 IN Practitioner - Internal MedicinePractitioner - Hospitalist 6901134717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone (812) 858-9400

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006774AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 21, 2020 Accepting new patients
Deaconess Specialty Physicians Inc Internal Medicine CurrentSince May 8, 2024 Accepting new patients
Deaconess Clinic Inc CurrentSince Aug 1, 2022 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Deaconess Clinic Inc. Internal Medicine Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince May 8, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 21, 2020 Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: jphillips144459@direct.nortonhealthcare.org
  • Direct secure messaging: jphillips232516@direct.deaconess.com

Organizations & group practices 11

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1770088767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-858-9400",
            "fax_number": "812-858-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308925",
            "telephone_number": "812-858-9400",
            "fax_number": "812-858-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308947",
            "country_code": "US",
            "telephone_number": "812-450-3036",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Mary St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101658",
            "country_code": "US",
            "telephone_number": "812-450-3036",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02006774A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "02006774A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.