Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RANDALL JOSEPH PHILLIPS MD
NPI 1124099395
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
7221 ENGLE RD STE 220, FORT WAYNE, IN 46804(260) 432-1568(260) 432-4969 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Jun 17, 2016 (2 updates tracked since 2016).

About Dr. Randall Joseph Phillips Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL JOSEPH PHILLIPS MD (NPI 1124099395) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Indiana (01042709) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1124099395
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RANDALL JOSEPH PHILLIPSCredential: MD
Location Address7221 ENGLE RD STE 220Fort Wayne, IN 46804-2233
Mailing Address7221 Engle Rd Ste 220Fort Wayne, IN 46804-2233 · (260) 432-1568 · Fax (260) 432-4969
Fax(260) 432-4969
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1989
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1124099395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01042709
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7221 ENGLE RD STE 220, Fort Wayne, IN 46804

Secondary Practice Location 1

Location 11100 Reid PkwyRichmond, IN 47374-1157 · Phone (765) 983-3000

Other Identifiers 3

Medicaid100389260IN
Medicaid1124099395MI
Medicaid2038280OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall Joseph Phillips Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769432855
PECOS Enrollment IDI20050126000859, I20090319000091
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Randall Phillips reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
7221 ENGLE RD STE 220
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • Medicare enrollment name: Summit Radiology PC
  • 64 clinicians in this Medicare group
Family Medicine
3521 W PURDUE AVE
Muncie, IN 47304
  • Reassigned Medicare billing, Indiana enrollment
  • 166 clinicians in this Medicare group
Medical
420 S HILLSDALE ST
Homer, MI 49245
  • Reassigned Medicare billing, Michigan and Indiana enrollments
  • Also billed through NPI 1043660467 (Indiana)
  • 168 clinicians in this Medicare group
Diagnostic Radiology
2451 INTELLIPLEX DR
Shelbyville, IN 46176
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • 27 clinicians in this Medicare group
Critical Access
1185 N 1000 W
Linton, IN 47441
  • Reassigned Medicare billing, Indiana enrollment
  • 106 clinicians in this Medicare group
Diagnostic Radiology
2801 N GANTENBEIN AVE
Portland, OR 97227
  • Reassigned Medicare billing, Indiana enrollment
  • 18 clinicians in this Medicare group
Diagnostic Radiology
1015 NW 22ND AVE
Portland, OR 97210
  • Reassigned Medicare billing, Indiana enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
477 services477 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
477 services477 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
253 services247 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
94 services93 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
93 services93 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
64 services62 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Vascular & Interventional Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Vascular & Interventional Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Phillips's NPI number?

The NPI number for Randall Phillips is 1124099395. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Randall Phillips located?

Randall Phillips practices at 7221 Engle Rd Ste 220, Fort Wayne, IN 46804. The listed phone number is (260) 432-1568.

What is Randall Phillips's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Randall Phillips enrolled in Medicare?

Yes. Randall Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Randall Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Phillips reassigns Medicare benefits to 7 organizations: Summit Radiology P C (Fort Wayne, IN), Henry County Memorial Hospital (Muncie, IN), Ella E M Brown Charitable Circle (Homer, MI), X-Ray Physicians Of Shelbyville PC (Shelbyville, IN), Greene County General Hospital (Linton, IN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Phillips accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Priority Health list Randall Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Randall Phillips affiliated with any hospitals?

According to CMS data, Randall Phillips is affiliated with Marion General Hospital, Kosciusko Community Hospital, The Orthopaedic Hospital Of Lutheran Health Networ, Adams Memorial Hospital and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Randall Phillips was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.