KAMI S PHILLIPS (M.D.) – Family Medicine Physician, NPI 1407824782

KAMI S PHILLIPS (M.D.) is a healthcare provider. based in Gardner, Massachusetts. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 157713 (MA). The NPI Number for KAMI S PHILLIPS (M.D.) is 1407824782

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KAMI S PHILLIPS (M.D.)
NPI
1407824782
Phone
(978) 630-4455
Address
250 GREEN ST
Enumeration Date
10 March 2006
Last Update Date
8 November 2016

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9786304455
Graduation Year
1995 (31 years ago)
PAC ID
9931233947
Group Practice PAC ID
3971573916
Professional Enrollment ID
I20100812000664
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KAMI S PHILLIPS (M.D.)

  • 250, Green Street, Gardner, Worcester County, Massachusetts, 01440, United States

    SUITE 202

    GARDNER, MA 014401396

    Phone: (978) 630-4455

    Fax: (978) 669-0046

    Mailing address matches the actual address.

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: 2010-08-12

PECOS data refreshed: 2026-05-27

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
I20100812000664IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14193$0
99213Established patient office or other outpatient visit, 20-29 minutes9772$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6464$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage2423$0
G0008Administration of influenza virus vaccine2423$0
View full utilization report →

Insurance plans in this area (ZIP 01440)

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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: 3971573916View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KAMI S PHILLIPS (M.D.)'s NPI?
Yes. KAMI S PHILLIPS (M.D.) is listed with NPI 1407824782 in the public NPI dataset.
Does the file indicate KAMI S PHILLIPS (M.D.) is practicing under active NPI?
Directory data currently reports KAMI S PHILLIPS (M.D.) as active.
What healthcare role does KAMI S PHILLIPS (M.D.) hold?
Scheduling teams often label KAMI S PHILLIPS (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KAMI S PHILLIPS (M.D.) serve?
KAMI S PHILLIPS (M.D.)'s listing highlights Gardner, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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