SAMANTHA PHILLIPS
NPI 1275168460
Dermatology in Chicago, IL

Active since March 08, 2020PECOS EnrolledAccepts Medicare Assignment
1853 W POLK ST, CHICAGO, IL 60612(312) 996-3500 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2025, Aug 29, 2022, Mar 8, 2020 (3 updates tracked since 2020).

About Samantha Phillips NPPES

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

SAMANTHA PHILLIPS (NPI 1275168460) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (125.078592) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).

NPPES Registry Identity

NPI1275168460
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSAMANTHA PHILLIPS
Location Address1853 W POLK STChicago, IL 60612-4355
Mailing Address1853 W Polk StChicago, IL 60612-4355
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateMarch 8, 2020
Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
NPI 1275168460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 125.078592
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1853 W POLK ST, Chicago, IL 60612

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

Samantha Phillips 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 ID7315324803
PECOS Enrollment IDI20250822003723
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 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Internal Medicine
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612

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 Samantha Phillips's NPI number?

The NPI number for Samantha Phillips is 1275168460. It was assigned to this individual provider in the NPPES registry on March 8, 2020.

Where is Samantha Phillips located?

Samantha Phillips practices at 1853 W Polk St, Chicago, IL 60612. The listed phone number is (312) 996-3500.

What is Samantha Phillips's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Samantha Phillips enrolled in Medicare?

Yes. Samantha Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Phillips was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.