DR. KELLEY J PHILLIPS MD
NPI 1174579403
Emergency Medicine in Dallas, TX
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
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelley J Phillips Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kelley Phillips reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Dallas, TX 75230
- Reassigned Medicare billing, Texas enrollment
- 454 clinicians in this Medicare group
Sunnyvale, TX 75182
- Reassigned Medicare billing, Texas enrollment
- 44 clinicians in this Medicare group
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 123 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Texas enrollment
- 35 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.
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.
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.
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
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.
Which organizations bill Medicare for Kelley Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Phillips reassigns Medicare benefits to 5 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), Questcare Medical Services, PLLC (Dallas, TX), Ray Hubbard Emergency Physicians PLLC (Sunnyvale, TX), Pediatric Emergency Medicine Group LLP (Plano, TX) and Innovative Emergency Physicians Of Frisco, PA (Frisco, TX). 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 Kelley Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Kelley J Phillips, MD · NPI 1174579403
Emergency Medicine physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1174579403 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** M1293 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3500 GASTON AVE, Dallas, TX 75246-2096
- **Phone:** (214) 820-2505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Texas Southwestern Medical Center At Dallas (NPI 1083669766, Dallas, TX); Questcare Medical Services, PLLC (NPI 1912059247, Dallas, TX); Ray Hubbard Emergency Physicians PLLC (NPI 1629145362, Sunnyvale, TX); Pediatric Emergency Medicine Group LLP (NPI 1629448535, Plano, TX); Innovative Emergency Physicians Of Frisco, PA (NPI 1871832188, Frisco, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2014
- **Other identifiers:** Medicaid 176422707 (TX); Other 8H4406 (TX); Medicaid 176422708 (TX); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1174579403) · Data from the CMS NPPES public registry.