Active NPI
Alfred J Phillips, DPM
- Foot & Ankle Surgery Podiatrist
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1916
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362972 | Medicaid | MA | |
| Y70921 | Other | MD | BCBS 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 64 |
| Removal of nail tissue | 155 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1916 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients | |
| Southeastern Vascular, P.C. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Vascular Care Group LLC | Current | Accepting new patients | |
| Nantucket Physicians Organization | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | 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
- alfred.phillips.2@2915.direct.athenahealth.com
- aphillips44253@direct.capecodhealthcare.masshiway.net
- 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.
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Vascular Surgery Physician
- Hyannis, MA
- NPI 1538775481
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
-
- Vascular Surgery Physician
- Hyannis, MA
- NPI 1205866274
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
-
dba Nantucket Cottage Medical Group
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Vascular Surgery Physician
- Leominster, MA
- NPI 1578561569
-
- Cardiac Rehabilitation Clinic/Center
- Brighton, MA
- NPI 1760086599
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Dennis, MA
- NPI 1649258278
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.