NPIMap

Individual provider Active NPI

Tania J. Phillips, MD

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1831180504
Registry record updated Dec 20, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
72540 Issued in MA
Practice address
725 Albany Street
Shapiro 8
Boston, MA 02118
Phone
(617) 638-7420
Fax
(617) 638-7289
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 72540 MA Primary

Addresses

Primary practice location

725 Albany Street
Shapiro 8
Boston, MA 02118

Mailing address

850 Harrison Ave
Yacc BN-C7
Boston, MA 02118-4001
Phone (617) 414-5405

Other identifiers 1

IdentifierTypeStateIssuer
3068358MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050408000995 MA Practitioner - Dermatology 5890732085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians
Boston University Dermatology IncGroup PAC ID 7012803919, 15 clinicians

Practice addresses (Care Compare)

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2115
Phone (617) 848-1611

725 Albany St
Boston, MA 02118-2526
Phone (617) 638-7420

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions514
Skin biopsy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72540MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Dermatology, Inc. Dermatology CurrentSince Jan 23, 1997 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Child Health Foundation of Boston, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Skincare Physicians Inc Dermatology CurrentSince Oct 1, 2006 Accepting new patients
Skincarephysicians Dermatology Past Accepting new patients
Skincare Physicians St Elizabeths Inc Dermatology PastSince Oct 1, 2006 Accepting new patients

Locations

725 Albany St
Fl 8
Boston, MA 02118
Phone (617) 414-4841

725 Albany St
#8
Boston, MA 02118
Phone (617) 414-4841

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

850 Harrison Ave
#7
Boston, MA 02118
Phone (617) 638-6100

1244 Boylston St
Ste 103
Chestnut Hill, MA 02467
Phone (617) 731-1600

1244 Boylston St
Ste 302
Chestnut Hill, MA 02467
Phone (617) 731-1600

Interoperability endpoints

  • Direct secure messaging: tphillips@scp.emadirect.md
  • Direct secure messaging: tphillips11701@direct.bmc.masshiway.net

Organizations & group practices 6

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 8

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1831180504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE",
            "address_2": "YACC BN-C7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY STREET",
            "address_2": "SHAPIRO 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-7420",
            "fax_number": "617-638-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TANIA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "72540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068358",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.