Active NPI
Michael Sanford Lifson, M.D.
- Gynecology Physician
- Dillon, MT
National Provider Identifier
1053423798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 10696
- Practice address
- 30 Mt Highway 91 S
Dillon, MT 59725 - Phone
- (406) 683-3009
- Fax
- (410) 832-5560
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 10696 | MT | Primary |
Addresses
Primary practice location
30 Mt Highway 91 S
Dillon, MT 59725
Mailing address
30 Mt Highway 91 S
Dillon, MT 59725-3535
Phone (406) 683-3009
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MLIFSON305625@WM.PROVIDENCEDIRECT.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10696 | MT | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Valley Hospital, Inc. | Current | Accepting new patients | |
| Madison Valley Hospital Inc | Current | Accepting new patients | |
| Madison Valley Hospital Inc | Current | Accepting new patients |
Locations
305 N Main St
Ennis, MT 59729
Phone (406) 682-4223
Interoperability endpoints
- mlifson305625@wm.providencedirect.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Ennis, MT
- NPI 1740223882
-
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Land Ambulance
- Ennis, MT
- NPI 1518546365
-
- Rural Health Clinic/Center
- Ennis, MT
- NPI 1518136308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1053423798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MT HIGHWAY 91 S",
"city": "DILLON",
"state": "MT",
"postal_code": "597253535",
"telephone_number": "406-683-3009",
"fax_number": "410-832-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MT HIGHWAY 91 S",
"city": "DILLON",
"state": "MT",
"postal_code": "59725",
"telephone_number": "406-683-3009",
"fax_number": "410-832-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIFSON",
"first_name": "MICHAEL",
"middle_name": "SANFORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MT",
"license": "10696",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MLIFSON305625@WM.PROVIDENCEDIRECT.ORG",
"affiliation": "N",
"address_1": "30 MT Highway 91 S",
"city": "Dillon",
"state": "MT",
"country_code": "US",
"postal_code": "59725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.