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DR. RANDALL JOSEPH PHILLIPS MD NPI 1124099395


NPI Information

NPI: 1124099395
Provider Name: DR. RANDALL JOSEPH PHILLIPS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818
Phone: (260) 432-1568
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DR. Randall Joseph Phillips, MD is a diagnostic radiology radiology in Fort Wayne, IN with 35 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Randall Joseph Phillips, MD NPI is 1124099395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 432-4969

The NPI 1124099395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain (HCPCS:70450)
  • Mammography of both breasts (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology01042709INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F60547MEDICARE UPIN
2100389260MEDICAIDINDIANA
3300049245MEDICARE PININDIANA
41124099395MEDICAIDMICHIGAN
5MI1209024MEDICARE PINMICHIGAN
6H189740MEDICARE PINOHIO
72038280MEDICAIDOHIO
8981270TMEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.