Individual provider

Kelly Phillips, D.O.

Emergency Medicine Physician Medicare enrolled

Kelly Phillips, D.O. is an Emergency Medicine Physician in Lakewood, WA, registered under NPI 1003047796. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11315 BRIDGEPORT WAY SW EMERGENCY DEPT, Lakewood, WA 98499. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11315 BRIDGEPORT WAY SW EMERGENCY DEPT, Lakewood, WA 98499 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OP60477228 WA Emergency Medicine Physician primary
4759 OK Emergency Medicine Physician

Licences are recorded in 2 states: WA, OK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
4981734498

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Oklahoma and Washington. The practice address on file is in Lakewood, WA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

OK Oklahoma
Licence
4759
Specialty
Emergency Medicine Physician
Verify with the OK board →
WA Washington practice address
Licence
OP60477228
Specialty
Emergency Medicine Physician
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Emergency Medicine covers

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
Allopathic & Osteopathic Physicians Emergency Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207P00000X Emergency Medicine Physician OP60477228 WA primary
207P00000X Emergency Medicine Physician 4759 OK

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003047796 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 29, 2009
Last updatedSep 9, 2014
StatusActive
Sole proprietorYes
CredentialD.O.
Practice address 11315 BRIDGEPORT WAY SW
EMERGENCY DEPT
Lakewood, WA 98499
(253) 985-8700
This record was last updated on Sep 9, 2014, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1003047796 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 0 4 7 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 0 4 5 7 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003047796?
NPI 1003047796 is the National Provider Identifier assigned to Kelly Phillips, D.O. in Lakewood, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medicine Physician cover?
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care…
How do I contact Kelly Phillips, D.O.?
The phone number on file with NPPES is (253) 985-8700, last updated Sep 9, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kelly Phillips, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003047796 a valid number?
Yes. 1003047796 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.