DR. ROJY PHILIP M.D
NPI 1366838153
Family Medicine in Sterling Heights, MI

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
11600 15 MILE RD, STERLING HEIGHTS, MI 48312(586) 797-0047(586) 797-0009 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Mar 19, 2025, Jul 27, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Rojy Philip M.d NPPES

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

DR. ROJY PHILIP M.D (NPI 1366838153) is an individual family medicine provider in Sterling Heights, Michigan, licensed in Michigan (4301107614) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366838153
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROJY PHILIPCredential: M.D
Location Address11600 15 MILE RDSterling Heights, MI 48312-5100
Mailing Address11600 15 Mile RdSterling Heights, MI 48312-5100 · (586) 797-0047
Fax(586) 797-0009
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 8, 2015
Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1366838153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301107614
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.
11600 15 MILE RD, Sterling Heights, MI 48312

Accepted Insurance

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

Dr. Rojy Philip 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 ID8820213515
PECOS Enrollment IDI20180626003496
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48312 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%37 patients
Breast Cancer Screening
62%225 patients3/55-star benchmark: 93%
Cervical Cancer Screening
61%459 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
25%56 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
54%618 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
65%524 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
5%243 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%243 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,832 patients4/55-star benchmark: 100%
e-Prescribing
99%1,446 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
52%174 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
85%1,141 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%938 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,143 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,057 patients
Patients screened: 87% · 1,057 patients
92%274 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%377 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%346 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 201 patients
Patients totalRate: 10% · 201 patients
8%201 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11600 15 MILE RD
STERLING HEIGHTS, MI 48312
Family Medicine
11600 15 MILE RD
STERLING HEIGHTS, MI 48312
Surgery
11600 15 MILE RD, SUITE 1
STERLING HEIGHTS, MI 48312
Family Medicine
11600 15 MILE RD
STERLING HEIGHTS, MI 48312

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 Rojy Philip's NPI number?

The NPI number for Rojy Philip is 1366838153. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Rojy Philip located?

Rojy Philip practices at 11600 15 Mile Rd, Sterling Heights, MI 48312. The listed phone number is (586) 797-0047.

What is Rojy Philip's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rojy Philip enrolled in Medicare?

Yes. Rojy Philip 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.

What insurance does Rojy Philip accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Rojy Philip 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.

When was this NPI record last updated?

The NPPES record for Rojy Philip was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.