Individual provider Active NPI

Lynn J Phillips, MD

  • Hospitalist Physician
  • Hartford, CT
National Provider Identifier
1801869706
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
040677 Issued in CT
Practice address
114 Woodland St
Department of Medicine
Hartford, CT 06105-1208
Phone
(860) 714-7446
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040677 CT
Hospitalist Physician 208M00000X 040677 CT Primary

Addresses

Primary practice location

114 Woodland St
Department of Medicine
Hartford, CT 06105-1208

Mailing address

114 Woodland St
Department of Medicine
Hartford, CT 06105-1208
Phone (860) 714-7446

Other identifiers 1

IdentifierTypeStateIssuer
001406778MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000060 CT Practitioner - Hospitalist 5092602623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Vermont College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

Hospital & facility affiliations

  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040677CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Feb 6, 2012 Accepting new patients
Hospital for Special Care CurrentSince Oct 10, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Feb 6, 2012 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

1000 Asylum Ave
Ste 2019A
Hartford, CT 06105

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

1625 Straits Tpke
Ste 302
Middlebury, CT 06762
Phone (203) 759-0666

1625 Straits Tpke
Ste 201
Middlebury, CT 06762
Phone (203) 573-9512

2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

170 Grandview Ave
Waterbury, CT 06708
Phone (203) 573-9512

Interoperability endpoints

  • FHIR API: https://fhir.hfsc.org/R4/open-Prod

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1801869706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LYNN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040677",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "040677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001406778",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.