Active NPI
Derwin A Phillip, MD
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036139796
- Practice address
- 9000 Franklin Square Drive
Baltimore, MD 21237 - Phone
- (877) 202-9696
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | XXXXXX | MD | |
| Emergency Medicine Physician | 207P00000X | 036139796 | IL | Primary |
Addresses
Primary practice location
9000 Franklin Square Drive
Baltimore, MD 21237
Mailing address
1000 River Road
Ste 100
Conshohocken, PA 19428
Phone (800) 355-3818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127203900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- George Washington University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100
3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036139796 | IL | MD | Emergency Medicine Physician |
| XXXXXX | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Current | Accepting new patients |
| Emerge Medstaffing LLC | Current | Accepting new patients | |
| Cep America Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Emerge Medstaffing LLC | Emergency Medicine | Current | Accepting new patients |
| Calumet Quick Care LTD | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Medlantic Healthcare Group | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
5518 Calumet Ave
Hammond, IN 46320
Phone (219) 803-0379
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Interoperability endpoints
- dphillip220451@direct.franciscanalliance.org
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Family Medicine Physician
- Hammond, IN
- NPI 1861150419
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Family Medicine Physician
- Frankfort, IL
- NPI 1467177311
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
-
- Rural Health Clinic/Center
- Salem, IN
- NPI 1225633761
-
- Emergency Medicine Physician
- Arlington Heights, IL
- NPI 1487091229
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Chicago Heights, IL
- NPI 1780167841
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1871688341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER ROAD",
"address_2": "STE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "19428",
"telephone_number": "800-355-3818",
"fax_number": "610-834-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DRIVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "877-202-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIP",
"first_name": "DERWIN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "XXXXXX",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036139796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127203900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.