Active NPI
Joseph Timothy Lifrak, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Swansea, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 261943
- Practice address
- 479 Swansea Mall Dr
Swansea, MA 02777-4119 - Phone
- (508) 973-1550
- Fax
- (508) 973-0386
- NPI assigned
- Sep 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 261943 | MA | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD09929 | RI |
Addresses
Primary practice location
479 Swansea Mall Dr
Swansea, MA 02777-4119
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093700726 | Other | RI | DURABLE |
| 32172-3 | Other | RI | RI BLUE CROSS |
| 7006971 | Medicaid | RI | |
| 405507 | Other | RI | CHIP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlifrak19829@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Warren Alpert Medical School of Brown University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1076 N Main St
Southcoast Physicians Services Inc
Providence, RI 02904-5709
Phone (401) 273-2460
479 Swansea Mall Dr
Swansea, MA 02777-4119
Phone (508) 973-1570
Hospital & facility affiliations
- Southcoast Visiting Nurse Association Inc
- Visiting Nurse Home and Hospice
- Southcoast Hospitals Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 50 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261943 | MA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| MD09929 | RI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Jewett Orthopaedic Clinic LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
300C Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2230
479 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 672-5300
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
1076 N Main St
Providence, RI 02904
Phone (401) 273-2460
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Orthopaedic Surgery Physician
- Winter Park, FL
- NPI 1821097437
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
-
- Nursing Care Agency
- Middletown, RI
- NPI 1972587699
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1093700726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195255",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 SWANSEA MALL DR",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774119",
"telephone_number": "508-973-1550",
"fax_number": "508-973-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIFRAK",
"first_name": "JOSEPH",
"middle_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MA",
"license": "261943",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "RI",
"license": "MD09929",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE",
"identifier": "1093700726",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CROSS",
"identifier": "32172-3",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7006971",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "405507",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlifrak19829@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "479 Swansea Mall Dr",
"city": "Swansea",
"state": "MA",
"country_code": "US",
"postal_code": "027774119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.