Individual provider Active NPI

Tomeko Lydritrius McPhillips, DPM

  • Primary Podiatric Medicine Podiatrist
  • Selma, AL
National Provider Identifier
1821093949
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
256 Issued in AL
Practice address
6 Office Park Cir
Selma, AL 36701-6506
Phone
(334) 872-5636
Fax
(334) 872-5199
NPI assigned
Jun 15, 2005
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 256 AL Primary

Addresses

Primary practice location

6 Office Park Cir
Selma, AL 36701-6506

Mailing address

6 Office Park Cir
Selma, AL 36701-6506
Phone (334) 872-5636

Other identifiers 1

IdentifierTypeStateIssuer
MC051552784MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20041228000017 AL Practitioner - Podiatry 3173516440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Park PL
Selma, AL 36701-6764
Phone (334) 877-1490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue188
Removal or shaving of skin growth51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. CurrentSince Aug 8, 2024 Accepting new patients
Rural Health Medical Program, Inc CurrentSince Aug 8, 2024 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients

Locations

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 874-7428

6 Office Park Cir
Selma, AL 36701
Phone (334) 872-5636

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tomeko.mcphillips.1@13116.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1821093949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016506",
            "telephone_number": "334-872-5636",
            "fax_number": "334-872-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016506",
            "telephone_number": "334-872-5636",
            "fax_number": "334-872-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHILLIPS",
        "first_name": "TOMEKO",
        "middle_name": "LYDRITRIUS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC051552784",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.