DR. JOLLY PHILIP
NPI 1487653556
Family Medicine in Belmont, CA

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
1301 SHOREWAY RD STE 100, BELMONT, CA 94002(650) 596-7000(650) 596-7093 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, Mar 2, 2018 (2 updates tracked since 2018).

About Dr. Jolly Philip NPPES

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

DR. JOLLY PHILIP (NPI 1487653556) is an individual family medicine provider in Belmont, California, licensed in California (C52441) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elgin, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1487653556
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOLLY PHILIP
Location Address1301 SHOREWAY RD STE 100Belmont, CA 94002-4110
Mailing Address3400 Data Dr, Attn: Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956
Fax(650) 596-7093
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 20, 2005
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPI 1487653556 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 · C52441
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.

1301 SHOREWAY RD STE 100, Belmont, CA 94002

Secondary Practice Location 1

Location 1370 Summit StElgin, IL 60120-3843 · Phone (847) 608-1344 ext. 222 · Fax (607) 608-0672

Other Identifiers 1

Medicaid364249586001IL

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. Jolly Philip 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 ID345235941
PECOS Enrollment IDI20061218000592
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 94002 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 14

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

Internal Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Internal Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Psychiatry & Neurology (Neurology)
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Internal Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Physician Assistant
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Obstetrics & Gynecology
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Family Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
Family Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002

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 Jolly Philip's NPI number?

The NPI number for Jolly Philip is 1487653556. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Jolly Philip located?

Jolly Philip practices at 1301 Shoreway Rd Ste 100, Belmont, CA 94002. The listed phone number is (650) 596-7000.

What is Jolly Philip's specialty?

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

Is Jolly Philip enrolled in Medicare?

Yes. Jolly 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.

When was this NPI record last updated?

The NPPES record for Jolly Philip was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.