Individual provider Active NPI

Derwin A Phillip, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1871688341
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036139796 Issued in IL
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

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
127203900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160226000723 IL Practitioner - Emergency Medicine 1557491073 Reassigns benefits to 3 organizations
I20230429000347 IN Practitioner - Emergency Medicine 1557491073 Reassigns benefits to 2 organizations
I20251007003688 KY Practitioner - Emergency Medicine 1557491073 Reassigns benefits to 1 organization

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 IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

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 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
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

LicenseStateTypeSpecialty
036139796ILMDEmergency Medicine Physician
XXXXXXMDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 18, 2023 Accepting new patients
Emergency Medicine Physicians of Cook County LLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Emerge Medstaffing LLC CurrentSince Sep 15, 2018 Accepting new patients
Cep America Illinois LLP Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 18, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 19, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Emerge Medstaffing LLC Emergency Medicine CurrentSince Sep 15, 2018 Accepting new patients
Calumet Quick Care LTD CurrentSince Mar 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.