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DR. KELLEY J PHILLIPS MD
NPI 1174579403
Emergency Medicine in Dallas, TX

Active since May 26, 2006PECOS Enrolled
3500 GASTON AVE, DALLAS, TX 75246(214) 820-2505 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelley J Phillips Md NPPES

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

DR. KELLEY J PHILLIPS MD (NPI 1174579403) is an individual emergency medicine provider in Dallas, Texas, licensed in Texas (M1293) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174579403
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KELLEY J PHILLIPSCredential: MD
Location Address3500 GASTON AVEDallas, TX 75246-2096
Mailing Address4409 Verde LaneFrisco, TX 75034 · (469) 287-2750
Phone(214) 820-2505
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 16, 2014
✔ NPI 1174579403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · M1293
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3500 GASTON AVE, Dallas, TX 75246
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Other Identifiers 6

Medicaid176422707TX
Other8H4406TX · Bcbs
Medicaid176422708TX
Medicare PIN329067YKN5TX
Medicare PIN329067YLLVTX
Medicare UPINI43280

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 (PECOS)

Dr. Kelley J 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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.

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

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 Kelley Phillips's NPI number?

The NPI number for Kelley Phillips is 1174579403. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kelley Phillips located?

Kelley Phillips practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-2505.

What is Kelley Phillips's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelley Phillips enrolled in Medicare?

Yes. Kelley Phillips is registered in the Medicare PECOS enrollment system.

What insurance does Kelley Phillips accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelley 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.

When was this NPI record last updated?

The NPPES record for Kelley Phillips was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.