Individual provider Active NPI

Alfred J Phillips, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hyannis, MA
National Provider Identifier
1982727129
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1916 Issued in MA
Practice address
100 Camp St
Hyannis, MA 02601-3063
Phone
(508) 775-1984
Fax
(508) 790-1897
NPI assigned
Apr 10, 2007
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1916 MA
Foot & Ankle Surgery Podiatrist 213ES0103X 1916 MA Primary

Addresses

Primary practice location

100 Camp St
Hyannis, MA 02601-3063

Mailing address

11 Nevins St
Suite 201
Brighton, MA 02135-3514
Phone (617) 789-2442

Other practice location 1

11 Nevins St
Suite 201
Brighton, MA 02135-3514
Phone (617) 789-2442

Other identifiers 2

IdentifierTypeStateIssuer
362972MedicaidMA
Y70921OtherMDBCBS MA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000223 MA Practitioner - Podiatry 7315967684 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Vascular Care Group LLCGroup PAC ID 2769871078, 25 clinicians
Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue155
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1916MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Southeastern Vascular, P.C. CurrentSince Jun 15, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
Nantucket Cottage Hospital CurrentSince Sep 23, 2022 Accepting new patients
Vascular Care Group LLC CurrentSince Jul 14, 2021 Accepting new patients
Nantucket Physicians Organization CurrentSince Sep 23, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Stephen J. Hoenig, MD, PC Past Accepting new patients
Steward Medical Group Inc. Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

1493 Cambridge St
Ste 780
Cambridge, MA 02139
Phone (617) 665-1515

85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087

100 Camp St
Hyannis, MA 02601
Phone (508) 775-1984

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

40 Industrial Park Rd
Ste 203
Plymouth, MA 02360
Phone (508) 356-6404

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: alfred.phillips.2@2915.direct.athenahealth.com
  • Direct secure messaging: aphillips44253@direct.capecodhealthcare.masshiway.net
  • Direct secure messaging: phillips.alfred.nch@direct.partners.masshiway.net

Organizations & group practices 12

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 4

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1982727129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353514",
            "telephone_number": "617-789-2442",
            "fax_number": "617-789-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063",
            "telephone_number": "508-775-1984",
            "fax_number": "508-790-1897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Nevins St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021353514",
            "country_code": "US",
            "telephone_number": "617-789-2442",
            "fax_number": "617-789-4207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALFRED",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1916",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362972",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA PROVIDER NUMBER",
            "identifier": "Y70921",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.