Derald Phillips, PA
Medical Physician Assistant · Amarillo, TX
Derald Phillips, PA is a medical physician assistant with a practice address in Amarillo, Texas, and NPI 1972083137, issued on Aug 17, 2018. Check the license (Texas PA12454, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Derald Phillips
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA12454 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1901 Medi Park Dr Ste 2050, Amarillo, TX 79106
- Phone
- (806) 355-3352
- Enumerated
- Aug 17, 2018
- Record last updated
- May 15, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190422001033); accepts Medicare assignment
- Medical or professional school
- Southern Illinois University School Of Medicine, 2018
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 2,146 in Texas → Look up another NPI →
Also registered at 1901 Medi Park Dr Ste 2050
A shared address usually means a shared clinic or building; it does not show who employs whom.
- April Bailey, MDDiagnostic Radiology Physician1952500258
- Romanus Ezeoke, PA-CPhysician Assistant1255271250
- Jon Grubbs, RPARadiology Practitioner Assistant1770872848
- Paul Hakim, M.D.Diagnostic Radiology Physician1699093831
- Arouj Hashmi, MDDiagnostic Radiology Physician1831103241
- Megha Kureti, M.DDiagnostic Radiology Physician1922532746
Verify Derald Phillips in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA12454Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $29.30
2 payments; by number, the most common kind was food and beverage; the largest payer was Inari Medical, Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- High Plains Radiological Association LLPAmarillo, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derald Phillips among 2,146 medical physician assistant records in Texas
Derald Phillips, PA is one of 2,146 medical physician assistant records with a practice address in Texas. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 77% of them.
- NPI issued2018 · 77% of these records are older, 20% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 44% of these records are
- Graduated2018 · median 2012 among the 953 with a school on file
- Record last updated2019 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Texas
There are 2,146 medical physician assistant records in Texas.
All 2,146 in Texas → Every provider in Amarillo → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Lisa Snow, PA-CAmarillo, TX 791061073849238
- Amber Soto, P.A.Amarillo, TX 791061578634424
- Brittany Tate, PAAmarillo, TX 791061902106420
- Victoria Wilkinson, P.A.-CAmarillo, TX 791061881766970
- Behnoush Jaberian Doraji, P.A.Amarillo, TX 791091467795625
- Cynthia Archer, PA-CTulia, TX 790881710043047
- Chloe Homen, PA-CAmarillo, TX 791241558012559
- Joseph Lauhon, PHYSICIAN ASSISTANTSunray, TX 790861669432712
Common questions
What is Derald Phillips, PA's NPI number?
Derald Phillips, PA's National Provider Identifier (NPI) is 1972083137, issued on Aug 17, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Derald Phillips, PA located?
The NPPES record lists a practice address at 1901 Medi Park Dr Ste 2050, Amarillo, TX, 79106. Phone: (806) 355-3352. Providers update this record themselves, so call before visiting.
How can I verify Derald Phillips, PA's license?
NPPES lists Texas license number PA12454, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.