PHILIP A PHILIPS M.D.
NPI 1346221686
Surgery in Woonsocket, RI

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment
20 CUMBERLAND HILL RD, SUITE 209, WOONSOCKET, RI 02895(401) 766-2970(401) 766-1523 Get Directions Write a Review

NPPES record last updated: April 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Philip A Philips M.d. NPPES

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

PHILIP A PHILIPS M.D. (NPI 1346221686) is an individual surgery provider in Woonsocket, Rhode Island, licensed in Rhode Island (MD10158) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1346221686
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePHILIP A PHILIPSCredential: M.D.
Location Address20 CUMBERLAND HILL RD, SUITE 209Woonsocket, RI 02895-4854
Mailing Address20 Cumberland Hill Rd, Suite 209Woonsocket, RI 02895-4854 · (401) 766-2970 · Fax (401) 766-1523
Fax(401) 766-1523
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 11, 2005
Last NPPES UpdateApril 9, 2011
✔ NPI 1346221686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in RI · MD10158
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
20 CUMBERLAND HILL RD, Woonsocket, RI 02895

Other Identifiers 4

Medicare PIN007050077RI
Other0000002791RI · Blue Cross/blue Shield
Medicare UPINH04714RI
Medicaid9002791RI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip A Philips 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 ID2668373994
PECOS Enrollment IDI20251111000582
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

4

Medicare enrollment records show Philip Philips reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
219 CASS AVE
Woonsocket, RI 02895
  • Reassigned Medicare billing, Rhode Island enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
Family Medicine
28 GARRETT AVE STE 202
Bryn Mawr, PA 19010
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Rhode Island enrollment
  • 8 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.

Areas of Expertise CMS Part B claims

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

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.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Internal Medicine
20 CUMBERLAND HILL RD, SUITE 106
WOONSOCKET, RI 02895
Internal Medicine
20 CUMBERLAND HILL RD, SUITE 208
WOONSOCKET, RI 02895
Urology
20 CUMBERLAND HILL RD, UNIT 202
WOONSOCKET, RI 02895
Physician Assistant (Medical)
20 CUMBERLAND HILL RD, SUITE 104
WOONSOCKET, RI 02895
Obstetrics & Gynecology (Gynecology)
20 CUMBERLAND HILL RD, SUITE 210
WOONSOCKET, RI 02895
Internal Medicine (Gastroenterology)
20 CUMBERLAND HILL RD, SUITE 204
WOONSOCKET, RI 02895
Internal Medicine (Gastroenterology)
20 CUMBERLAND HILL RD, SUITE 204
WOONSOCKET, RI 02895
Dentist (Oral and Maxillofacial Surgery)
20 CUMBERLAND HILL RD, SUITE 101
WOONSOCKET, RI 02895

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 Philip Philips's NPI number?

The NPI number for Philip Philips is 1346221686. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Philip Philips located?

Philip Philips practices at 20 Cumberland Hill Rd Suite 209, Woonsocket, RI 02895. The listed phone number is (401) 766-2970.

What is Philip Philips's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Philip Philips enrolled in Medicare?

Yes. Philip Philips 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.

Which organizations bill Medicare for Philip Philips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Philips reassigns Medicare benefits to 4 organizations: Prime Healthcare Services Landmark LLC (Woonsocket, RI), Southcoast Physicians Group, Inc. (Fairhaven, MA), Vohra Post Acute Care Physicians Of The Northeast PA (Bryn Mawr, PA) and Vohra Wound Physicians Of Fl, LLC (Miramar, FL). 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 Philip Philips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Philips accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Philip Philips 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.

Is Philip Philips affiliated with any hospitals?

According to CMS data, Philip Philips is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Philip Philips was last updated on April 9, 2011. 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.