Individual provider Active NPI

Nirmol Mary Philip, M.D.

  • Infectious Disease Physician
  • Chesterfield, MO
National Provider Identifier
1992063515
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2019029123 Issued in MO
Practice address
222 S Woods Mill Rd Ste 750
Chesterfield, MO 63017-3625
Phone
(314) 205-6600
Fax
(314) 434-5939
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 C1-0011357 DE
Infectious Disease Physician 207RI0200X 2019029123 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd Ste 750
Chesterfield, MO 63017-3625

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160426000245 DE Practitioner - Internal Medicine 0840410270 Reassigns benefits to 3 organizations
I20180917000651 PA Practitioner - Infectious Disease 0840410270 Reassigns benefits to 1 organization
I20191007000138 MO Practitioner - Infectious Disease 0840410270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists of St Lukes LLCGroup PAC ID 0749213072, 13 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
Suite 750N
Chesterfield, MO 63017-3653
Phone (314) 205-6600

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0011357DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Apr 21, 2016 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 21, 2016 Accepting new patients
Medical Specialists of St Lukes LLC Internal Medicine CurrentSince Sep 15, 2019 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Mar 21, 2016 Accepting new patients
Einstein Practice Plan Inc Infectious Disease CurrentSince Aug 1, 2018 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Christiana Care Health Services, Inc Internal Medicine CurrentSince Mar 21, 2016 Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 1, 2018 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cardiothoracic Surgery, LLC PastSince Sep 15, 2019 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

222 S Woods Mill Rd
Ste 750N
Chesterfield, MO 63017
Phone (314) 205-6600

222 S Woods Mill Rd
Ste 750
Chesterfield, MO 63017
Phone (314) 205-6600

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1992063515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 750",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6600",
            "fax_number": "314-434-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "NIRMOL",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0011357",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2019029123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.