JOHN KEITH PHILLIPS MD NPI 1699760371

NPI Information

  • NPI: 1699760371
  • Provider Name: JOHN KEITH PHILLIPS, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4080 LAFAYETTE CENTER DR
    SUITE 170
    CHANTILLY, VA
    ZIP 20151
  • Phone: (703) 766-5040

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NPI Details

John Keith Phillips, MD is a family medicine in Chantilly, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Keith Phillips, MD NPI is 1699760371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4080 LAFAYETTE CENTER DR
SUITE 170
CHANTILLY, VA
ZIP 20151-247
Phone: (703) 766-5040
Fax: (703) 766-5047

The enumeration date for this NPI number is 9/19/2005 and was last updated on 4/17/2012.

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
1207Q00000XFamily Medicine0101231142VIRGINIAYes

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
1H54864MEDICARE UPIN
205647398MEDICAIDVIRGINIA
3P00015942OTHERVIRGINIARR MEDICARE
4008999F32MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

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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