Individual provider Active NPI

Ian Lipski, MD

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1104909001
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L7011 Issued in TX
Practice address
11240 FM 1960 Rd W Ste 406
Houston, TX 77065-3663
Phone
(713) 568-6095
Fax
(713) 965-4091
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L7011 TX Primary

Addresses

Primary practice location

11240 FM 1960 Rd W Ste 406
Houston, TX 77065-3663

Mailing address

9001 Forest Xing
Ste D
The Woodlands, TX 77381-1132
Phone (713) 792-2991

Other practice location 1

1241 Campbell Rd
Houston, TX 77055-6453
Phone (713) 568-6095

Other practice location 2

9717 Jones Rd Ste 100
Houston, TX 77065-4303
Phone (713) 568-6095

Other practice location 3

9001 Forest Xing Ste D
The Woodlands, TX 77381-1132
Phone (713) 568-6095

Other identifiers 1

IdentifierTypeStateIssuer
159210702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041015000874 TX Practitioner - Anesthesiology 0345200077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cy-Pain and Spine, PLLCGroup PAC ID 2062723760, 3 clinicians

Practice addresses (Care Compare)

9717 Jones Rd
Suite 100
Houston, TX 77065-4303
Phone (713) 568-6095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cy-Pain & Spine, PLLC CurrentSince Sep 7, 2019 Accepting new patients
Legacy Anesthesia Associates PA Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients

Locations

11240 FM 1960 Rd W
Ste 406
Houston, TX 77065
Phone (713) 568-6095

7700 Main St
Ste 400
Houston, TX 77030
Phone (281) 846-4553

9717 Jones Rd
Ste 100
Houston, TX 77065
Phone (713) 568-6095

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

9201 Pinecroft Dr
Ste 200
Shenandoah, TX 77380
Phone (281) 394-4704

9001 Forest Xing
Ste D
The Woodlands, TX 77381
Phone (281) 298-3244

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1104909001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 FOREST XING",
            "address_2": "STE D",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811132",
            "telephone_number": "713-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W STE 406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653663",
            "telephone_number": "713-568-6095",
            "fax_number": "713-965-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 Campbell Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770556453",
            "country_code": "US",
            "telephone_number": "713-568-6095",
            "fax_number": "713-965-4091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9717 Jones Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770654303",
            "country_code": "US",
            "telephone_number": "713-568-6095",
            "fax_number": "713-965-4091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 Forest Xing Ste D",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773811132",
            "country_code": "US",
            "telephone_number": "713-568-6095",
            "fax_number": "713-965-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSKI",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L7011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159210702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.