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PHILIP M JAMES MD
NPI 1982674123
Medical Genetics - Clinical Genetics (M.D.) in Madison, WI

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
1500 HIGHLAND AVE, MADISON, WI 53705(608) 263-3301(608) 263-0530 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Philip M James Md NPPES

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

PHILIP M JAMES MD (NPI 1982674123) is an individual clinical genetics (m.d.) provider in Madison, Wisconsin, licensed in Wisconsin (22415-875) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1982674123
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NamePHILIP M JAMESCredential: MD
Location Address1500 HIGHLAND AVEMadison, WI 53705-2274
Mailing Address3200 E Camelback Rd, Ste 250Phoenix, AZ 85018-2311 · (602) 933-1813 · Fax (602) 933-1820
Phone(608) 263-3301
Fax(608) 263-0530
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1982674123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in WI · 22415-875✔ Licensed in MA · 220472
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedMedical Genetics · Clinical Biochemical GeneticsTaxonomy 207SG0202X · License 220472 (MA), 18516 (AZ)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 220472 (MA)
1500 HIGHLAND AVE, Madison, WI 53705
Open in Google Maps ↗

Secondary Practice Location 1

Location 11920 E Cambridge Ave, Ste 304Phoenix, AZ 85006-1459 · Phone (602) 933-4363 · Fax (602) 933-2415

Other Identifiers 1

Medicaid2065231MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.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 M James Md 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 ID2062492937
PECOS Enrollment IDI20220601002077
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 James reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin Medical Foundation, Inc
4.8 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485
Maricopa County Special Health Care District
1,381 mi
Adult Mental Health
950 E MAIN ST
Mesa, AZ 85203
  • Reassigned Medicare billing, Arizona enrollment
  • 285 clinicians in this Medicare group
NPI 1104331115 (602) 655-6260
District Medical Group, Inc
1,382 mi
Psychiatry
570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1124251020 (480) 344-2000
Children's Clinics For Rehabilitative Services
1,386 mi
Multi-Specialty
2600 N WYATT DR
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group
NPI 1063454346 (520) 324-5437

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

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

ERIN THOMSON LCSW
Social Worker (Clinical)
1500 HIGHLAND AVE, ROOM 102
MADISON, WI 53705
Dane County (608) 263-5815
ALYSSA WALSH
Psychologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
STEPHAN R SCHMID BCBS
Behavior Analyst
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 890-3622
DAVID S WARGOWSKI MD
Medical Genetics (Clinical Genetics (M.D.))
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-6420
MRS. SARAH MARIE MARSHALL
Speech-Language Pathologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
MARGARET KOERITZER AU.D.
Audiologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
MICHAEL STEPHEN MEYN MD PHD
Medical Genetics (Clinical Genetics (M.D.))
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
SAVANNA BRITTLEBANK-DOUGLAS MS
Speech-Language Pathologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (301) 828-8970

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 James's NPI number?

The NPI number for Philip James is 1982674123. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Philip James located?

Philip James practices at 1500 Highland Ave, Madison, WI 53705. The listed phone number is (608) 263-3301.

What is Philip James's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Philip James enrolled in Medicare?

Yes. Philip James 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 James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip James reassigns Medicare benefits to 4 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Maricopa County Special Health Care District (Mesa, AZ), District Medical Group, Inc (Mesa, AZ) and Children's Clinics For Rehabilitative Services (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 Philip James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip James accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 4 other insurers list Philip James 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 James affiliated with any hospitals?

According to CMS data, Philip James is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Philip James was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.