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DR. JACOB WILLIAM PHILLIPS D.O.
NPI 1235526989
Internal Medicine - Hospice and Palliative Medicine in Largo, MD

Active since April 21, 2015PECOS Enrolled
1801 MCCORMICK DR STE 180, LARGO, MD 20774(301) 883-0866 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2020, Apr 18, 2018, Apr 9, 2018 (3 updates tracked since 2018).

About Dr. Jacob William Phillips D.o. NPPES

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

DR. JACOB WILLIAM PHILLIPS D.O. (NPI 1235526989) is an individual hospice and palliative medicine provider in Largo, Maryland, licensed in Maryland (H0089766) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Lake Erie Col Of Osteopathic Medicine, Bradenton (2015).

NPPES Registry Identity

NPI1235526989
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. JACOB WILLIAM PHILLIPSCredential: D.O.
Location Address1801 MCCORMICK DR STE 180Largo, MD 20774-5345
Mailing Address1801 Mccormick Dr Ste 180Largo, MD 20774-5345 · (301) 883-0866
Phone(301) 883-0866
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2015
Enumeration DateApril 21, 2015
Last NPPES UpdateJuly 30, 20203 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
✔ NPI 1235526989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in MD · H0089766
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1801 MCCORMICK DR STE 180, Largo, MD 20774
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob William Phillips D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648689323
PECOS Enrollment IDI20240508000282
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifecare Supportive Medicine Incorporated
331 mi
Hospice and Palliative Medicine
1414 PHYSICIANS DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 30 clinicians in this Medicare group
NPI 1316804446 (910) 796-8000
Lower Cape Fear Hospice Incorporated
331 mi
Case Management
1414 PHYSICIANS DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 39 clinicians in this Medicare group
NPI 1669012563 (910) 796-7900

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 Jacob Phillips's NPI number?

The NPI number for Jacob Phillips is 1235526989. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Jacob Phillips located?

Jacob Phillips practices at 1801 Mccormick Dr Ste 180, Largo, MD 20774. The listed phone number is (301) 883-0866.

What is Jacob Phillips's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Jacob Phillips enrolled in Medicare?

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

Which organizations bill Medicare for Jacob Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Phillips reassigns Medicare benefits to 2 organizations: Lifecare Supportive Medicine Incorporated (Wilmington, NC) and Lower Cape Fear Hospice Incorporated (Wilmington, NC). 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 Jacob Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Phillips was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.