MR. TIMOTHY JAMES PHILLIPS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1881615656

MR. TIMOTHY JAMES PHILLIPS (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 862407 (NV). The NPI Number for MR. TIMOTHY JAMES PHILLIPS (CRNA) is 1881615656

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY JAMES PHILLIPS (CRNA)
NPI
1881615656
Phone
(702) 878-0070
Address
PO BOX 840857
Enumeration Date
21 July 2006
Last Update Date
20 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
0244217974
Professional Enrollment ID
I20251104002010
Address ID
PA152032348PI2XXXXSTXX400

Contacts

Secure Messaging
tphillips11742@nyumc.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MR. TIMOTHY JAMES PHILLIPS (CRNA)

  • PO BOX 840857

    DALLAS, TX 752840857

    Phone: (702) 878-0070

    Fax: (702) 805-0307

    Type: Mailing

  • 16900 N BAY RD APT 1211

    SUNNY ISLES BEACH, FL 331604268

    Phone: (786) 274-7157

    Fax: (786) 274-1654

    Type: Mailing

  • 3641, South Miami Avenue, Bay Heights, Miami, Miami-Dade County, Florida, 33133, United States

    MIAMI, FL 331334205

    Phone: (305) 854-0302

    Fax: (305) 854-0308

    Type: Location

  • 400 E 34th St

    New York, NY 100164901

    Phone: (212) 263-5072

    Type: Location

  • 3641 S Miami Ave

    Miami, FL 331334205

    Phone: (305) 854-0302

    Fax: (305) 854-0308

    Type: Location

  • 400 E 34TH ST

    NEW YORK, NY 100164901

    Phone: (212) 263-5072

    Type: Location

  • 7160 RAFAEL RIVERA WAY STE 210

    LAS VEGAS, NV 891135395

    Phone: (702) 878-0070

    Fax: (702) 805-0307

    Type: Location

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: 2025-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100609000593ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20251104002010ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00142Anesthesia for lens surgery2323$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Reviews

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Frequently asked questions

How do payers reference MR. TIMOTHY JAMES PHILLIPS (CRNA)?
For MR. TIMOTHY JAMES PHILLIPS (CRNA), use NPI 1881615656 as the unique 10-digit identifier.
Is MR. TIMOTHY JAMES PHILLIPS (CRNA) shown as active in public data?
Registry records indicate MR. TIMOTHY JAMES PHILLIPS (CRNA) maintains an active NPI.
How would a patient describe MR. TIMOTHY JAMES PHILLIPS (CRNA)'s focus?
For MR. TIMOTHY JAMES PHILLIPS (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. TIMOTHY JAMES PHILLIPS (CRNA)?
Directory geography for MR. TIMOTHY JAMES PHILLIPS (CRNA) centers on Dallas, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.