RANDALL PHILLIPS M.D. – NPI #1154304962
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

RANDALL PHILLIPS is a radiologist located in LAKE GROVE, NY. NPPES has assigned the NPI number 1154304962 to RANDALL PHILLIPS on November 25, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 9 years ago on Dec 04, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL PHILLIPS below.

NPI Profile for
RANDALL PHILLIPS

NPI Number
1154304962
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL PHILLIPS
Credentials
M.D.
Primary location
2780 MIDDLE COUNTRY RD STE 210
LAKE GROVE, NY 11755-2120
Phone: (631) 588-4500 Fax: (631) 588-4595
1 Other location(s):
4 Cobbler Ln
East Setauket, NY 11733-1168
Phone: (952) 595-1100
Fax: (612) 294-4903
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NY 146974

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.