Active NPI
Michael R Sippel, MD
- Surgery Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.148620
- Practice address
- 1001 Covington St
Youngstown, OH 44510-1617 - Phone
- (330) 480-2371
- Fax
- (330) 480-3970
- NPI assigned
- May 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.148620 | OH | Primary |
Addresses
Primary practice location
1001 Covington St
Youngstown, OH 44510-1617
Mailing address
1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8122 Datapoint Dr
Suite 320
San Antonio, TX 78229-3264
Phone (210) 614-5113
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.148620 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Surgical Associates | Current | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
8122 Datapoint Dr
Ste 320
San Antonio, TX 78229
Phone (210) 614-5113
8042 Wurzbach Rd
Ste 310
San Antonio, TX 78229
Phone (210) 614-5113
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHFEBA/Endpoint/EHFEBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- San Antonio, TX
- NPI 1265453252
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1033596648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COVINGTON ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-2371",
"fax_number": "330-480-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COVINGTON ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101617",
"telephone_number": "330-480-2371",
"fax_number": "330-480-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPPEL",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.148620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.