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

Dr. Philip Lamar Chustz, MD

Individual provider Internal Medicine Physician · NPI 1811198005

Dr. Philip Lamar Chustz, MD is an Interventional Cardiology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2004, 22 years ago. Practices with St Dominic Jackson Memorial, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
22
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

970 Lakeland Dr Ste 61
Jackson, MS 39216-4635
Phone: (601) 982-7850
Fax: (601) 366-8507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 969 Lakeland Dr, Jackson, MS 39216-4606 — (601) 982-7850

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 19505 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 19505 (MS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 19505 (MS)

Record details

NPI number1811198005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice St. Dominic Jackson Memorial — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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