DR. MARTIN T PHILLIPS MD NPI 1003802349

Internal Medicine (Infectious Disease) in Kankakee, IL

Individual Male Internal Medicine Infectious Disease PECOS Enrolled Accepts Medicare Years Experience 26

About MARTIN PHILLIPS

Martin Phillips is a provider established in Kankakee, Illinois and his medical specialization is internal medicine with more than 26 years of experience. The NPI number of Martin Phillips is 1003802349 and was assigned on September 2005. The practitioner's primary taxonomy code is 207RI0200X with license number 036-104648 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago. Martin Phillips is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003802349

Provider NameDR. MARTIN T PHILLIPS MD
Provider Location Address555 W COURT ST SUITE 108 KANKAKEE, IL 60901
Provider Mailing Address901 MCCLINTOCK DR SUITE 202 BURR RIDGE, IL 60527
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-22-2005
Last Update Date04-18-2013

Primary Taxonomy

Taxonomy Code207RI0200X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInfectious Disease
License No.036-104648
License StateIL
Taxonomy DescriptionAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Business Address

DR. MARTIN T PHILLIPS MD
555 W COURT ST
SUITE 108
KANKAKEE, IL
ZIP 60901
Phone: (888) 220-6432
Fax: (630) 654-4253

Get Directions

Mailing Address

DR. MARTIN T PHILLIPS MD
901 MCCLINTOCK DR
SUITE 202
BURR RIDGE, IL
ZIP 60527
Phone: (888) 220-6432
Fax: (630) 654-4253

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1254342611
PECOS Enrollment IDI20060522000170
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 358Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • 73Insertion of needle into vein for collection of blood sample (HCPCS:36415)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
RIVERSIDE MEDICAL CENTER140186
PRESENCE ST MARYS HOSPITAL140155
METROSOUTH MEDICAL CENTER140118

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
K27716MEDICARE PIN (08)IL
I10618MEDICARE PIN (08)IA
036-104-648MEDICAID (05)IL
L97829MEDICARE PIN (08)IL
K27717MEDICARE PIN (08)IL
H81085MEDICARE UPIN (02)IL
0420307MEDICAID (05)IA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053623801COMMUNITY PAIN CONSULTANTS, LTD
Organization
Specialist555 W COURT ST SUITE 100
KANKAKEE, IL 60901
(815) 932-7246
1083972863MICHEL H. MALEK, M.D. PC
Organization
Non-Pharmacy Dispensing Site555 W COURT ST SUITE 412
KANKAKEE, IL 60901
(815) 936-3204
1093777880DR. SURESH K DIDWANIA M.D.
Individual
Internal Medicine555 W COURT ST SUITE 400
KANKAKEE, IL 60901
(815) 932-4614
1104845833MS. SUSAN M. GIACCHINO APN
Individual
Clinical Nurse Specialist (Critical Care Medicine)555 W COURT ST SUITE 108
KANKAKEE, IL 60901
(815) 937-2015
1114127800MISBAH UDDIN AHMED MD SC
Organization
Internal Medicine555 W COURT ST STE 200
KANKAKEE, IL 60901
(815) 935-2525
1194035360MICHEL H. MALEK, MD SC
Organization
Neurological Surgery555 W COURT ST SUITE 412
KANKAKEE, IL 60901
(815) 936-3204
1275731671GEORGE B VERGHESE MD SC
Organization
Orthopaedic Surgery555 W COURT ST
KANKAKEE, IL 60901
(815) 802-8031
1427122381DR. DOMINIK B DUBRAVEC DDS, MMSC
Individual
Dentist (Periodontics)555 W COURT ST SUITE 202
KANKAKEE, IL 60901
(815) 932-0554
1457519969CONSULTANTS IN PATHOLOGY SC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)555 W COURT ST SUITE 300
KANKAKEE, IL 60901
(815) 937-2194
1518296938DONALD E KRAUSE DDS LTD
Organization
Clinic/Center (Dental)555 W COURT ST SUITE 102
KANKAKEE, IL 60901
(815) 937-3521
1528131224MEDICAL ASSOCIATES OF KANKAKEE PC
Organization
Internal Medicine (Nephrology)555 W COURT ST SUITE414
KANKAKEE, IL 60901
(815) 937-4880
1548374838 MICHEL H MALEK MD
Individual
Neurological Surgery555 W COURT ST SUITE 412
KANKAKEE, IL 60901
(815) 936-3204
1649247784DR. GEORGE VERGHESE MD
Individual
Orthopaedic Surgery555 W COURT ST SUITE 403
KANKAKEE, IL 60901
(815) 802-8031
1689792012DR. BRUCE ALAN LACOSTE D.D.S.
Individual
Dentist (General Practice)555 W COURT ST SUITE #102
KANKAKEE, IL 60901
(815) 932-3822
1750344214DR. VALLABH N PATEL M.D.
Individual
Internal Medicine555 W COURT ST SUITE 400
KANKAKEE, IL 60901
(815) 932-4614
1881679553DR. JAMES M KELLY M.D.
Individual
Specialist555 W COURT ST SUITE 100
KANKAKEE, IL 60901
(815) 932-7246
1881791622MEDCENTRE PHARMACY
Organization
555 W COURT ST
KANKAKEE, IL 60901
(815) 937-3540
1912982125METRO AREA PAIN CONSULTANTS, LTD
Organization
Specialist555 W COURT ST SUITE100
KANKAKEE, IL 60901
(815) 932-7246
1922117811 MISBAH UDDIN AHMED MD
Individual
Internal Medicine (Medical Oncology)555 W COURT ST SUITE 200
KANKAKEE, IL 60901
(815) 935-2525
1982844684KANKAKEE PAIN SURGICAL SUITE, LLC
Organization
Clinic/Center (Pain)555 W COURT ST SUITE 100
KANKAKEE, IL 60901
(815) 932-7246

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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