Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob W Phillips, MD

Individual provider General Practice Physician · NPI 1730317868

Dr. Jacob W Phillips, MD is a General Practice in North Chili, New York. Qualified in 2009, 17 years ago. Practices with Churchville-Chili Family Medicine LLC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Buffalo Rd Ste 1
North Chili, NY 14514-1256
Phone: (585) 594-5995
Fax: (585) 594-5425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 320916 (NY)

Record details

NPI number1730317868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Churchville-Chili Family Medicine Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount