CHAD PHILLIPS (M.D.) – Adult Medicine Physician, NPI 1053341453

CHAD PHILLIPS (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 23901 (OK). The NPI Number for CHAD PHILLIPS (M.D.) is 1053341453

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
CHAD PHILLIPS (M.D.)
NPI
1053341453
Phone
(918) 744-3528
Address
1923 S UTICA AVE
Enumeration Date
3 July 2006
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182463456
Graduation Year
2001 (25 years ago)
PAC ID
6507856457
Group Practice PAC ID
9436210580
Professional Enrollment ID
I20040716000894
Address ID
OK740637289SA110XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for CHAD PHILLIPS (M.D.)

  • Ascension Saint John Medical Center, 1923, South Utica Avenue, Swan Lake, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741046520

    Phone: (918) 744-3528

    Fax: (918) 744-3529

    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: 2004-07-16

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
I20040716000894IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making327315$0
99284Emergency department visit with moderate level of medical decision making106105$0
99291Critical care, first 30-74 minutes4848$0
99283Emergency department visit with low level of medical decision making3232$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 9436210580View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Osteopathic Manipulative MedicineOK
Nurse PractitionerOK
General PracticeOK
Physician AssistantOK
Family Practice, PodiatryOK

Reviews

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Frequently asked questions

Where can patients find CHAD PHILLIPS (M.D.)'s NPI?
You can confirm CHAD PHILLIPS (M.D.) with NPI 1053341453; it appears in the national provider directory.
Is CHAD PHILLIPS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CHAD PHILLIPS (M.D.) list a primary specialty?
If you are matching referrals, note Adult Medicine Physician for CHAD PHILLIPS (M.D.). Clinical services aligned with this taxonomy classification.
Does CHAD PHILLIPS (M.D.) practice in Oklahoma?
You will see Tulsa, Oklahoma on file for CHAD PHILLIPS (M.D.) alongside any extra practice locations.
What if Tulsa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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