Scott E Phillips, MD
Individual provider Active NPI Otolaryngology Physician · Carmel, IN
NPI 1992706428 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1992706428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 01049360 (IN)
- Practice address
- 12188A N Meridian St
Suite 375
Carmel, IN 46032-4578 - Phone
- (317) 926-1056
- Fax
- (317) 579-0476
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Medical Group Inc
Practice addresses (Care Compare)
12188 A N Meridian St
Suite 375
Carmel, IN 46032-4433
Phone (317) 926-1056
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
590 Pit Rd
Brownsburg, IN 46112-7830
Phone (317) 456-1100
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Ascension St Vincent Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100830001136 | IN | Practitioner - Otolaryngology | 8022048743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049360 | IN | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current |
Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current |
Accepting new patients | |
| Bluffton Physician Services LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Caylor Nickel Clinic, PC | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
1115 Ronald Reagan Pkwy
Ste 254
Avon, IN 46123
Phone (317) 705-2700
590 Pit Rd
Brownsburg, IN 46112
Phone (317) 415-6040
12188A N Meridian St
Ste 375
Carmel, IN 46032
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | 01049360 | IN | |
| Otolaryngology Physician | 207Y00000X | 01049360 | IN | Yes |
Addresses
Primary practice location
12188A N Meridian St
Suite 375
Carmel, IN 46032-4578
Mailing address
12188A N Meridian St
Suite 375
Carmel, IN 46032-4578
Phone (317) 926-1056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200208000 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scott.phillips.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Other providers in Carmel, IN
- Dana Pflugradt
- Kelsey Elise Pflum
- Pharmakon Pharmaceuticals
- Kamolphob Phasuk
- Kelly Phelps
- Dave Curtis Phondo Sr.
- Sujoy Phookan
- Physician Assistant Surgical Services, Inc
- Physicians Resources LLC
- Roger Andrew Piatek
All providers in Carmel, IN · Otolaryngology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.