Individual provider Active NPI

Christopher Raymond Phillips, M.D.

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1912024563
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43448 Issued in KY
Practice address
100 Kiana Court
Suite B
Paducah, KY 42001-6787
Phone
(270) 408-6100
NPI assigned
Mar 26, 2007
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43448 KY Primary
Rheumatology Physician 207RR0500X 43448 KY

Addresses

Primary practice location

100 Kiana Court
Suite B
Paducah, KY 42001-6787

Mailing address

100 Kiana Court
Suite B
Paducah, KY 42001-6787
Phone (270) 408-6100

Other identifiers 1

IdentifierTypeStateIssuer
7100123280MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000166 KY Practitioner - RheumatologyPractitioner - Internal Medicine 0042341133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Specialists of Paducah PLLCGroup PAC ID 0244578805, 3 clinicians

Practice addresses (Care Compare)

100 Kiana CT
Apt B
Paducah, KY 42001-6767
Phone (270) 408-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.85 of 100Reported as group
Quality
99.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43448KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Specialists of Paducah PLLC Rheumatology CurrentSince Feb 5, 2019 Accepting new patients

Locations

100 Kiana Ct
Apt B
Paducah, KY 42001
Phone (270) 408-6100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDFBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1912024563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIANA COURT",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016787",
            "telephone_number": "270-408-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KIANA COURT",
            "address_2": "SUITE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016787",
            "telephone_number": "270-408-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "43448",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "43448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100123280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.