1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Pediatrics
  6. NPI Profile

DR. CHARLES SAMUEL PHILLIPS DO
NPI 1598945685
Pediatrics - Neonatal-Perinatal Medicine in Indianapolis, IN

Active since November 06, 2007PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779(317) 948-9806 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2024, Mar 16, 2021, Oct 19, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Charles Samuel Phillips Do NPPES

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

DR. CHARLES SAMUEL PHILLIPS DO (NPI 1598945685) is an individual neonatal-perinatal medicine provider in Indianapolis, Indiana, licensed in Indiana (02006187A) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598945685
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. CHARLES SAMUEL PHILLIPSCredential: DO
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644
Phone(317) 274-4779
Fax(317) 948-9806
Sole ProprietorYes
Enumeration DateNovember 6, 2007
Last NPPES UpdateJanuary 28, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1598945685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IN · 02006187A✔ Licensed in CA · 20A9841
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14199 Gateway BlvdNewburgh, IN 47630-8940 · Phone (812) 842-4200
Location 25301 E Grant RdTucson, AZ 85712-2805 · Phone (520) 324-5461

Other Identifiers 2

Medicaid300040766IN
Medicaid833629AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Samuel Phillips Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Charles Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Physicians Of Indiana Inc
10 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555
Tmc Medical Network
1,472 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Charles Phillips's NPI number?

The NPI number for Charles Phillips is 1598945685. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Charles Phillips located?

Charles Phillips practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 274-4779.

What is Charles Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Charles Phillips enrolled in Medicare?

Yes. Charles Phillips is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Phillips reassigns Medicare benefits to 2 organizations: Community Physicians Of Indiana Inc (Indianapolis, IN) and Tmc Medical Network (Tucson, AZ). 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 Charles Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Phillips accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource and Cigna HealthCare of Arizona, Inc list Charles Phillips 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 Charles Phillips was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.