SAMANTHA MARGARET BERYL PHILLIPS MD
NPI 1124513999
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Samantha Phillips's NPI number?

The NPI number for Samantha Phillips is 1124513999. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Samantha Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Phillips was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 25, 2018PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 349-2641(269) 488-8172 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2019, Jun 25, 2018 (2 updates tracked since 2018).

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About Samantha Margaret Beryl Phillips Md NPPES

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

SAMANTHA MARGARET BERYL PHILLIPS MD (NPI 1124513999) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4351030129) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124513999

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA MARGARET BERYL PHILLIPSCredential: MD

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282

Phone(269) 349-2641

Fax(269) 488-8172

Sole ProprietorNo

Enumeration DateJune 25, 2018

Last NPPES UpdateFebruary 14, 20192 updates tracked since enumeration

✔ NPI 1124513999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351030129

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 OAKLAND DR, Kalamazoo, MI 49008

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Margaret Beryl Phillips Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program