Dean James Phillips, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS9121 Issued in FL

Practice address

741 San Raphael St
Kissimmee, FL 34759-3909

Phone

(315) 778-1373

Fax

(315) 786-5058

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 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 2

Specialty

Diagnostic Radiology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Simedhealth LLCGroup PAC ID 6608137054, 89 clinicians

University Diagnostic Institute Winter Park PLLCGroup PAC ID 5991607871, 9 clinicians

Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Bluegrass Radiology Associates IncGroup PAC ID 4284661836, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Diagnostic Centers of America LLP

  • Diagnostic Radiology Physician
  • Delray Beach, FL
  • NPI 1730125261
  Medicare reassignment Care Compare group NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment Care Compare group NPD
• Simedhealth LLC

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1639680127
  Medicare reassignment Care Compare group NPD
• University Diagnostic Institute Winter Park PLLC

  • Radiology Clinic/Center
  • Winter Park, FL
  • NPI 1417917253
  Medicare reassignment Care Compare group NPD
• Bluegrass Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Somerset, KY
  • NPI 1558314534

  FL

  Medicare reassignment Care Compare group NPD
• Western New York MRI LLP

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1043255854
  Medicare reassignment
• Diagnostic Centers of America LLP

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1083491237
  NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Orlando Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Longwood, FL
  • NPI 1982673414
  NPD
• Simed Health LLC

  • Community/Retail Pharmacy
  • Gainesville, FL
  • NPI 1376616698
  NPD
• Boca Radiology Group PA

  • Diagnostic Radiology Physician
  • Boca Raton, FL
  • NPI 1033163423
  NPD (past)
• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Cumberland Regional Hospital LLC

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1962491118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 SAN RAPHAEL ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593909",
            "telephone_number": "315-778-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SAN RAPHAEL ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593909",
            "telephone_number": "315-778-1373",
            "fax_number": "315-786-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48042 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Wellesley Island",
            "state": "NY",
            "postal_code": "136404158",
            "country_code": "US",
            "telephone_number": "315-778-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102201536",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "DO883",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200401304",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS9121",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "189847-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chachy Reema Philip, DMD
• Lindsey M Philip
• Philip T. Philip, DMD
• Megan Keiko Phillip, D.D.S.
• Ashli Phillips
• Dustin J Phillips
• Phillips, Salomon & Parrish, PA
• Sarah Ann Philp
• Phoenix Home Care, Inc
• Physical Medicine & Rehab Center PA

• Diagnostic Radiology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.

Verify at the official NPI Registry.