Active NPI
Timothy James Phillips, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 862407
- Practice address
- 7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395 - Phone
- (702) 878-0070
- Fax
- (702) 805-0307
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 862407 | NV | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 9177869 | FL |
Addresses
Primary practice location
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Mailing address
PO Box 840857
Dallas, TX 75284-0857
Phone (702) 878-0070
Other practice location 1
3641 S Miami Ave
Miami, FL 33133-4205
Phone (305) 854-0302
Other practice location 2
400 E 34th St
New York, NY 10016-4901
Phone (212) 263-5072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303719300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tphillips11742@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Hot Meal St
Pittsburgh, PA 15203-2348
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.25 of 100
- Quality
- 74.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9177869 | FL | MD | Certified Registered Nurse Anesthetist |
| 862407 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesco Anesthesia Associates Inc | Past | Accepting new patients | |
| Francisco Alvarez-Gil, M.D., P.a. | Past | Accepting new patients |
Locations
400 E 34th St
New York, NY 10016
Phone (212) 263-6037
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
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 and National Provider Directory roles.
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- Physical Medicine & Rehabilitation Physician
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- Anesthesiology Physician
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- NPI 1952392946
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- Anesthesiology Physician
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- Diagnostic Radiology Physician
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- Anesthesiology Physician
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- Anesthesiology Physician
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Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1215913553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1881615656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840857",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840857",
"telephone_number": "702-878-0070",
"fax_number": "702-805-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 RAFAEL RIVERA WAY STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891135395",
"telephone_number": "702-878-0070",
"fax_number": "702-805-0307"
}
],
"practiceLocations": [
{
"address_1": "3641 S Miami Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331334205",
"country_code": "US",
"telephone_number": "305-854-0302",
"fax_number": "305-854-0308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E 34th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100164901",
"country_code": "US",
"telephone_number": "212-263-5072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "862407",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9177869",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303719300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tphillips11742@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "400 E 34th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100164901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.