Individual provider Active NPI

Michael Sanford Lifson, M.D.

  • Gynecology Physician
  • Dillon, MT
National Provider Identifier
1053423798
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
10696 Issued in MT
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

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000732 MT Practitioner - Obstetrics/Gynecology 5294824983 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10696MTMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Valley Hospital, Inc. CurrentSince Apr 7, 2018 Accepting new patients
Madison Valley Hospital Inc CurrentSince Apr 7, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.