Individual provider Active NPI

Jacob Lipkin, MD

  • Gastroenterology Physician
  • Jenkintown, PA
National Provider Identifier
1083077879
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD477742 Issued in PA
Practice address
1095 Rydal Rd
Jenkintown, PA 19046-1711
Phone
(267) 620-1100
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD477742 PA Primary

Addresses

Primary practice location

1095 Rydal Rd
Jenkintown, PA 19046-1711

Mailing address

1095 Rydal Rd
Jenkintown, PA 19046-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220629003163 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 6709173222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians
Amh Medical Staff Service FundGroup PAC ID 9830003813, 41 clinicians

Practice addresses (Care Compare)

1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Phone (267) 620-1100

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux468

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Gastroenterology CurrentSince Apr 1, 2023 Accepting new patients
Amh Medical Staff Service Fund CurrentSince Feb 26, 2024 Accepting new patients
University of Pittsburgh Physicians Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2022 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Apr 1, 2023 Accepting new patients
Gastrointestinal Associates, Inc Gastroenterology PastSince Feb 11, 2024 Accepting new patients
Jefferson University Physicians Gastroenterology Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1600 Horizon Dr
Ste 105
Chalfont, PA 18914
Phone (215) 368-6009

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

200 Lothrop St
Ste N715
Pittsburgh, PA 15213
Phone (412) 692-4700

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1095 Rydal Rd
Ste 100
Rydal, PA 19046
Phone (267) 620-1100

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1083077879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461711",
            "telephone_number": "267-620-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKIN",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD477742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.