Individual provider Active NPI

Timothy A Lipski, MD

  • Emergency Medicine Physician
  • Sequim, WA
National Provider Identifier
1093726499
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00048419 Issued in WA
Practice address
840 N 5TH Ave Ste 1400
Sequim, WA 98382-3045
Phone
(360) 582-2930
Fax
(360) 582-2931
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00048419 WA Primary

Addresses

Primary practice location

840 N 5TH Ave Ste 1400
Sequim, WA 98382-3045

Mailing address

840 N 5TH Ave Ste 1400
Sequim, WA 98382-3045
Phone (360) 582-2930

Other practice location 1

907 Georgiana St
Port Angeles, WA 98362-3911
Phone (360) 565-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070924000193 WA Practitioner - Emergency Medicine 0143231100 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Medical PhysiciansGroup PAC ID 9537172358, 106 clinicians

Practice addresses (Care Compare)

907 Georgiana St
Port Angeles, WA 98362-3911
Phone (360) 565-0999

Hospital & facility affiliations

  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor House Hospitalist CurrentSince Sep 1, 2007 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Olympic Medical Physicians Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 14, 2018 Accepting new patients
Grays Harbor Community Hospital CurrentSince Sep 1, 2007 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 14, 2018 Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000

907 Georgiana St
Port Angeles, WA 98362
Phone (360) 565-0550

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

840 N 5th Ave
Ste 1400
Sequim, WA 98382
Phone (360) 565-2930

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: tlipski@landmarkhealth-direct.org

Organizations & group practices 8

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 1

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1093726499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE STE 1400",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2930",
            "fax_number": "360-582-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE STE 1400",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2930",
            "fax_number": "360-582-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Georgiana St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623911",
            "country_code": "US",
            "telephone_number": "360-565-0550",
            "fax_number": "360-565-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSKI",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00048419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.