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PHILLIPS PODIATRY CORP.
NPI 1235350695
Podiatrist in Palm Desert, CA

Active since May 02, 2007
74090 EL PASEO STE 100, PALM DESERT, CA 92260(760) 773-3338(760) 779-8242 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phillips Podiatry Corp. NPPES

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

PHILLIPS PODIATRY CORP. (NPI 1235350695) is a healthcare organization registered as a podiatrist in Palm Desert, California and active in the NPI registry since May 2007. The organization lists Kenneth Kahle Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1235350695
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePHILLIPS PODIATRY CORP.
Location Address74090 EL PASEO STE 100Palm Desert, CA 92260-4135
Mailing Address74090 El Paseo Ste 100Palm Desert, CA 92260-4135 · (760) 773-3338 · Fax (760) 779-8242
Phone(760) 773-3338
Fax(760) 779-8242
Organization SubpartNo
Authorized OfficialKenneth Kahle PhillipsOwner · (760) 773-3338
Enumeration DateMay 2, 2007
Last NPPES UpdateDecember 9, 2010
✔ NPI 1235350695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E3631
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
74090 EL PASEO STE 100, Palm Desert, CA 92260
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillips Podiatry Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120222000023Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillips Podiatry Corp., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Phillips, DPM
Podiatry
NPI 1205932407
74090 EL PASO SUITE 100
Palm Desert, CA 92260
(760) 773-3338
✔ PECOS✔ Accepts MedicareSame address

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

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 Phillips Podiatry Corp.'s NPI number?

The NPI number for Phillips Podiatry Corp. is 1235350695. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Phillips Podiatry Corp. located?

Phillips Podiatry Corp. is located at 74090 El Paseo Ste 100, Palm Desert, CA 92260. The listed phone number is (760) 773-3338.

What is Phillips Podiatry Corp.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Phillips Podiatry Corp. enrolled in Medicare?

Yes. Phillips Podiatry Corp. is registered in the Medicare PECOS enrollment system.

When is Phillips Podiatry Corp.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Phillips Podiatry Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Phillips Podiatry Corp.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phillips Podiatry Corp. was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.