MARYANN PHILLIPPI (MD) – Obstetrics & Gynecology Physician, NPI 1649247792

MARYANN PHILLIPPI (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036100368 (IL). The NPI Number for MARYANN PHILLIPPI (MD) is 1649247792

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARYANN PHILLIPPI (MD)
NPI
1649247792
Phone
(269) 341-7887
Address
601 JOHN ST STE N1200
Enumeration Date
7 March 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
2693417979
Graduation Year
1996 (30 years ago)
PAC ID
7012995715
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20170317001868
Address ID
MI490075318KA601XXSTXX303

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for MARYANN PHILLIPPI (MD)

  • 601 JOHN ST STE N1200

    KALAMAZOO, MI 490075318

    Phone: (269) 341-7887

    Type: Location

  • 231 S Gary Ave

    Ste 114

    Bloomingdale, IL 601082234

    Phone: (630) 893-8585

    Type: Location

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    BOX 39

    KALAMAZOO, MI 49007

    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: 2017-03-17

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
I20170317001868IObstetrics/GynecologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49007)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARYANN PHILLIPPI (MD)?
MARYANN PHILLIPPI (MD) — NPI 1649247792 — is the standard way to identify this listing.
Can I rely on MARYANN PHILLIPPI (MD) being an active provider?
As of the registry snapshot, MARYANN PHILLIPPI (MD) is marked active.
What is MARYANN PHILLIPPI (MD) best known for clinically?
Directory data describes MARYANN PHILLIPPI (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARYANN PHILLIPPI (MD)?
MARYANN PHILLIPPI (MD)'s geographic hint is Kalamazoo, Michigan in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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