NPIMap

Individual provider Active NPI

Roy H Phillips, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bel Air, MD
National Provider Identifier
1881699411
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D22843 Issued in MD
Practice address
510 Upper Chesapeake Dr
#510
Bel Air, MD 21014-4328
Phone
(443) 643-3200
Fax
(443) 643-3204
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D22843 MD Primary

Addresses

Primary practice location

510 Upper Chesapeake Dr
#510
Bel Air, MD 21014-4328

Mailing address

520 Upper Chesapeake Dr
#405
Bel Air, MD 21014-4339
Phone (443) 643-3200

Other identifiers 1

IdentifierTypeStateIssuer
138801100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050404000343 MD Practitioner - EndocrinologyPractitioner - Internal Medicine 6800843723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Endocrinology Associates, LLCGroup PAC ID 2466529011, 10 clinicians

Practice addresses (Care Compare)

2027 Pulaski Hwy
Suite 207
Havre de Grace, MD 21078-2147
Phone (443) 843-6130

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

520 Upper Chesapeake Dr
Suite 210
Bel Air, MD 21014-4392
Phone (443) 643-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D22843MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Endocrinology Associates, LLC CurrentSince Jan 1, 2010 Accepting new patients
Upper Chesapeake Endocrinology Associates, LLC PastSince Aug 11, 2024 Accepting new patients
Harford Primary Care LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 405
Bel Air, MD 21014
Phone (443) 643-3347

510 Upper Chesapeake Dr
Ste 417
Bel Air, MD 21014
Phone (443) 643-3130

510 Upper Chesapeake Dr
Ste 510
Bel Air, MD 21014
Phone (443) 643-3200

2027 Pulaski Hwy
Ste 207
Hvre de Grace, MD 21078
Phone (443) 843-6100

Interoperability endpoints

  • Direct secure messaging: rphillips651789@direct.umm.edu

Organizations & group practices 4

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 5

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1881699411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "#405",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-3200",
            "fax_number": "443-643-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "address_2": "#510",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-643-3200",
            "fax_number": "443-643-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D22843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138801100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.