Randall Phillips, M.D

NPI: 1154304962

Randall Phillips, M.D

Q: What is Randall Phillips's NPI number?

Randall Phillips's NPI number is 1154304962, a unique 10-digit identifier issued by CMS.

Q: What does Randall Phillips specialize in?

Randall Phillips specializes in Radiology, taxonomy code 2085R0202X.

Q: Where does Randall Phillips practice?

Randall Phillips practices in Lake Grove, NY 11755-2120.

Q: When was Randall Phillips's NPI issued?

Randall Phillips's NPI was issued on November 25, 2005.

Q: What is Randall Phillips's provider type?

Randall Phillips is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderRadiology

NPI issued: November 25, 2005

Quick Facts

NPI Number

1154304962

TypeIndividual

StatusActive

SpecialtyRadiology

Taxonomy2085R0202X — Radiology

Phone

(631) 588-4500

StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1154304962)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (November 25, 2005)

Data source: CMS NPPES

Provider Overview

RANDALL PHILLIPS, M.D is a Radiology provider based in Lake Grove, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1154304962

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateNovember 25, 2005

Practice Location

CityLake Grove

StateNY

ZIP Code11755-2120

Phone(631) 588-4500

Specialties & Licenses

★ Primary

SpecialtyRadiology

Taxonomy Code2085R0202X

License StateNY

Mailing Address

CityLake Grove

StateNY

ZIP Code11755-2120

Phone(631) 588-4500

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1154304962 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1154304962for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1154304962 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Radiology

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