Active NPI
Adam T Phillips, M.D.
- Cardiovascular Disease Physician
- Boston, MA
National Provider Identifier
1972916039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 277831
- Practice address
- 185 Pilgrim Rd FL Baker4
Boston, MA 02215 - Phone
- (617) 667-8800
- NPI assigned
- Jun 6, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 277831 | MA | Primary |
Addresses
Primary practice location
185 Pilgrim Rd FL Baker4
Boston, MA 02215
Mailing address
185 Pilgrim Rd FL Baker4
Boston, MA 02215-5324
Phone (617) 667-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
185 Pilgrim Rd
Fl 4
Boston, MA 02215
Phone (617) 632-7828
185 Pilgrim Rd
#4
Boston, MA 02215
Phone (617) 632-7828
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.
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1972916039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PILGRIM RD FL BAKER4",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155324",
"telephone_number": "617-667-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 PILGRIM RD FL BAKER4",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ADAM",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "277831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.