Individual provider Active NPI

Michael Zachary Phillips, MD

  • Emergency Medicine Physician
  • Harpers Ferry, WV
National Provider Identifier
1992099600
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25377 Issued in WV
Practice address
175 Cheney Ave
Harpers Ferry, WV 25425-6343
Phone
(304) 535-6343
Fax
(304) 535-4110
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25377 WV Primary

Addresses

Primary practice location

175 Cheney Ave
Harpers Ferry, WV 25425-6343

Mailing address

175 Cheney Ave
Harpers Ferry, WV 25425-6343
Phone (304) 535-6343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140811000666 WV Practitioner - Emergency Medicine 3971720269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25377WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital Inc Current Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince May 19, 2014 Accepting new patients
City Hospital, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Interoperability endpoints

  • Direct secure messaging: mphillips7350@direct.wvuhsdirect.com

Organizations & group practices 3

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1992099600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CHENEY AVE",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254256343",
            "telephone_number": "304-535-6343",
            "fax_number": "304-535-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CHENEY AVE",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254256343",
            "telephone_number": "304-535-6343",
            "fax_number": "304-535-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "middle_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "25377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harpers Ferry, WV

Sources for this page

Verify at the official NPI Registry.