NICHOLAS ANDREW PHILLIPS M.D.
NPI 1255727293
Family Medicine in Fremont, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment

39001 SUNDALE DR, FREMONT, CA 94538(510) 796-1100 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2018, Jul 3, 2018 (2 updates tracked since 2018).

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About Nicholas Andrew Phillips M.d. NPPES

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

NICHOLAS ANDREW PHILLIPS M.D. (NPI 1255727293) is an individual family medicine provider in Fremont, California, licensed in California (A153125) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical School At Houston (2014).

NPPES Registry Identity

NPI1255727293

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNICHOLAS ANDREW PHILLIPSCredential: M.D.

Location Address39001 SUNDALE DRFremont, CA 94538-2005

Mailing Address160 J St Unit 2656Fremont, CA 94536-8018 · (510) 468-1533

Phone(510) 796-1100

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2014

Enumeration DateApril 7, 2015

Last NPPES UpdateJune 18, 20262 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1255727293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A153125

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

39001 SUNDALE DR, Fremont, CA 94538

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Secondary Practice Locations 3

Location 12633 E 27th StOakland, CA 94601-1912 · Phone (510) 468-1533

Location 2455 Silicon Valley BlvdSan Jose, CA 95138-1858 · Phone (510) 468-1533

Location 32171 Mowry AveFremont, CA 94538-1717 · Phone (510) 468-1533

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Andrew Phillips M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113232562

PECOS Enrollment IDI20180724003813

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

258 services98 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

217 services205 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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