MR. DERALD PHILLIPS PA NPI 1972083137

NPI Information

  • NPI: 1972083137
  • Provider Name: MR. DERALD PHILLIPS, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1901 MEDI PARK DR STE 2050
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 355-3352

Map and Directions

Get Directions

NPI Details

MR. Derald Phillips, PA is a medical physician assistant in Amarillo, TX with 8 years of experience. MR. Derald Phillips, PA NPI is 1972083137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1901 MEDI PARK DR STE 2050
AMARILLO, TX
ZIP 79106-109
Phone: (806) 355-3352

The NPI 1972083137 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.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • Needle biopsy of liver through skin (HCPCS:47000)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)

The enumeration date for this NPI number is 8/17/2018 and was last updated on 5/15/2019.

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
1363AM0700XPhysician AssistantMedicalNo
2363AM0700XPhysician AssistantMedicalPA12454TEXASYes

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

NPI Synchronization or Removal

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.