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MS. SANDHYA SUSAN PHILIP RN, APN
NPI 1124384078
Nurse Practitioner - Adult Health in Mesquite, TX

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
91.99/100
CMS Quality Rating
3865 CHILDRESS AVE, SUITA A, MESQUITE, TX 75150(972) 681-7246(972) 681-1079 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Sandhya Susan Philip Rn, Apn NPPES

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

MS. SANDHYA SUSAN PHILIP RN, APN (NPI 1124384078) is an individual adult health provider in Mesquite, Texas, licensed in Texas (AP125609) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1124384078
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. SANDHYA SUSAN PHILIPCredential: RN, APN
Location Address3865 CHILDRESS AVE, SUITA AMesquite, TX 75150-2802
Mailing Address807 Ashley PlMesquite, TX 75181-4205 · (201) 356-7986
Phone(972) 681-7246
Fax(972) 681-1079
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 4, 2012
Last NPPES UpdateMarch 31, 2015
✔ NPI 1124384078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP125609
3865 CHILDRESS AVE, Mesquite, TX 75150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sandhya Susan Philip Rn, Apn 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 ID2961725643
PECOS Enrollment IDI20150320000465
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
739 services222 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
230 services134 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
170 services14 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
44 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75150 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.18
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%514 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,515 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
11%1,027 patients1/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
100%234 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%234 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%520 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
90%1,155 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%520 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

TRENT MICHAEL MCPHERSON PA
Physician Assistant (Medical)
3865 CHILDRESS AVE, SUITE A
MESQUITE, TX 75150
Dallas County (972) 681-7246
DR. NAGARAJ S KIKKERI M.D.
Pain Medicine (Interventional Pain Medicine)
3865 CHILDRESS AVE, SUITE A
MESQUITE, TX 75150
Dallas County (972) 681-7246
HINKAPIN HEALTH INC
Case Management
3865 CHILDRESS AVE
MESQUITE, TX 75150
Dallas County (888) 850-0711
GERALD LEONARD
Physician Assistant (Medical)
3865 CHILDRESS AVE, SUITE A
MESQUITE, TX 75150
Dallas County (972) 681-7246
NORTH TEXAS VASCULAR CENTER PA
Surgery
3865 CHILDRESS AVE, SUITE C
MESQUITE, TX 75150
Dallas County (972) 885-8346
MESQUITE PROFESSIONAL ANESTHESIA, PA
Anesthesiology
3865 CHILDRESS AVE
MESQUITE, TX 75150
Dallas County (972) 681-7246

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 Sandhya Philip's NPI number?

The NPI number for Sandhya Philip is 1124384078. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Sandhya Philip located?

Sandhya Philip practices at 3865 Childress Ave Suita A, Mesquite, TX 75150. The listed phone number is (972) 681-7246.

What is Sandhya Philip's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sandhya Philip enrolled in Medicare?

Yes. Sandhya Philip 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.

What insurance does Sandhya Philip accept?

Health plans from Blue Cross and Blue Shield of Texas list Sandhya Philip 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 Sandhya Philip affiliated with any hospitals?

According to CMS data, Sandhya Philip is affiliated with Hunt Regional Medical Center and Baylor Scott And White Medical Center Lake Pointe.

When was this NPI record last updated?

The NPPES record for Sandhya Philip was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.