KELLY PHILLIPS (M.D.) – Internal Medicine Physician, NPI 1245680842

KELLY PHILLIPS (M.D.) is a healthcare provider. based in Colorado springs, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125.068515 (IL). The NPI Number for KELLY PHILLIPS (M.D.) is 1245680842

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY PHILLIPS (M.D.)
NPI
1245680842
Phone
(719) 633-5515
Address
175 S UNION BLVD STE 350
Enumeration Date
15 June 2016
Last Update Date
7 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196335515
Graduation Year
2016 (10 years ago)
PAC ID
5890087969
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20190828000490
Address ID
CO809103146CO175XXBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,996 INTERNAL MEDICINE in CO

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Provider Addresses for KELLY PHILLIPS (M.D.)

  • 350, South Union Boulevard, Colorado Springs, El Paso County, Colorado, 80910, United States

    COLORADO SPRINGS, CO 809103146

    Phone: (719) 633-5515

    Fax: (719) 471-2258

    Type: Location

  • 530 NE Glen Oak Ave

    Peoria, IL 616370001

    Phone: (309) 655-2000

    Type: Location

  • 5117, North Prospect Road, Peoria Heights, Peoria, Peoria County, Illinois, 61616, United States

    PEORIA HEIGHTS, IL 616165353

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190828000490IInternal MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes242130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes226105$0
99239Hospital discharge day management, more than 30 minutes136135$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9190$0
View full utilization report →

Insurance plans in this area (ZIP 80910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile
NameSpecialtyState
Pulmonary DiseaseCO
-CO
-CO
-MO
Physician AssistantCO
-CO
Hospitalist, Internal MedicineNY
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Does KELLY PHILLIPS (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY PHILLIPS (M.D.) uses 1245680842.
Is KELLY PHILLIPS (M.D.) still practicing?
KELLY PHILLIPS (M.D.) is currently listed as active in the public NPI registry.
What is KELLY PHILLIPS (M.D.) best known for clinically?
Directory data describes KELLY PHILLIPS (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY PHILLIPS (M.D.) on a map?
Expect Colorado Springs, Colorado as a primary anchor for KELLY PHILLIPS (M.D.) unless the record lists multiple sites.
Is the information about KELLY PHILLIPS (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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