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ALICE W PHILLIPS MD
NPI 1952499659
Pediatrics in Fort Worth, TX

Active since October 10, 2006PECOS Enrolled
6210 JOHN RYAN DR, STE 101, FORT WORTH, TX 76132(817) 370-0840(817) 370-8689 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Alice W Phillips Md NPPES

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

ALICE W PHILLIPS MD (NPI 1952499659) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (J7358) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952499659
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALICE W PHILLIPSCredential: MD
Location Address6210 JOHN RYAN DR, STE 101Fort Worth, TX 76132-4113
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(817) 370-0840
Fax(817) 370-8689
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1952499659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J7358
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6210 JOHN RYAN DR, Fort Worth, TX 76132
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice W Phillips Md 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 Reassignment

Medicare enrollment records show Alice Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
7.0 mi
Developmental - Behavioral Pediatrics
1500 COOPER ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1548230923 (682) 303-9200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 10

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

LINDSAY W STADTLER MD
Pediatrics
6210 JOHN RYAN DR, STE 104
FORT WORTH, TX 76132
Tarrant County (817) 294-7578
FORT WORTH PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
6210 JOHN RYAN DR, STE 100
FORT WORTH, TX 76132
Tarrant County (817) 292-5140
YOUNG KIDS PEDIATRICS PA
Clinic/Center (Primary Care)
6210 JOHN RYAN DR, SUITE 109
FORT WORTH, TX 76132
Tarrant County (817) 361-7494
DIANNE S ANDONOV LPC
Counselor (Professional)
6210 JOHN RYAN DR, STE 106
FORT WORTH, TX 76132
Tarrant County (817) 361-7201
DR. BRUCE HENRY WEINER D.D.S.
Dentist (Pediatric Dentistry)
6210 JOHN RYAN DR, STE 100
FORT WORTH, TX 76132
Tarrant County (817) 292-5140
JOHN G YOUNG MD
Pediatrics
6210 JOHN RYAN DR, STE 109
FORT WORTH, TX 76132
Tarrant County (817) 361-7494
BRETT L. COCHRUM, MD, PA
Family Medicine
6210 JOHN RYAN DR, STE 109A
FORT WORTH, TX 76132
Tarrant County (817) 294-4959
MARY C BRENNAN MD
Pediatrics
6210 JOHN RYAN DR, STE 101
FORT WORTH, TX 76132
Tarrant County (817) 370-0840

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 Alice Phillips's NPI number?

The NPI number for Alice Phillips is 1952499659. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Alice Phillips located?

Alice Phillips practices at 6210 John Ryan Dr Ste 101, Fort Worth, TX 76132. The listed phone number is (817) 370-0840.

What is Alice Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alice Phillips enrolled in Medicare?

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

Which organization bills Medicare for Alice Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Phillips reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Alice Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alice Phillips was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.