DR. RANDALL JOSEPH PHILLIPS MD NPI 1124099395

NPI Information

  • NPI: 1124099395
  • Provider Name: DR. RANDALL JOSEPH PHILLIPS, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7221 ENGLE RD STE 220
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 432-1568

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NPI Details

DR. Randall Joseph Phillips, MD is a diagnostic radiology radiology in Fort Wayne, IN with 37 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:

7221 ENGLE RD STE 220
FORT WAYNE, IN
ZIP 46804-233
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 without contrast (HCPCS:70450)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 5/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100389260MEDICAIDINDIANA
21124099395MEDICAIDMICHIGAN
32038280MEDICAIDOHIO

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: 11/21/2025

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