Individual provider Active NPI

Craig L Lipman, MD

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1164537551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28272 Issued in TN
Practice address
6019 Walnut Grove
Memphis, TN 38159
Phone
(901) 383-8860
Fax
(901) 383-1194
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28272 TN Primary

Addresses

Primary practice location

6019 Walnut Grove
Memphis, TN 38159

Mailing address

PO Box 2121
Memphis, TN 38159
Phone (901) 383-8860

Other identifiers 4

IdentifierTypeStateIssuer
3805239MedicaidTN
00117168MedicaidMS
97421OtherARBCBS
3052107OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100825000674 MS Practitioner - Diagnostic Radiology 6901989730 Reassigns benefits to 1 organization
I20100922000987 TN Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 6901989730 Reassigns benefits to 2 organizations
I20170208002632 AR Practitioner - Diagnostic Radiology 6901989730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Arkansas Clinic Charitable Foundation, Inc.Group PAC ID 2961547526, 294 clinicians
Mid-South Imaging and Therapeutics, P.a.Group PAC ID 9133106396, 69 clinicians
West Tennessee Imaging LLCGroup PAC ID 3173834215, 37 clinicians

Practice addresses (Care Compare)

1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432

1500 McLain St
Newport, AR 72112-3638
Phone (870) 523-9337

1500 W Poplar
Collierville, TN 38017-0601
Phone (901) 850-2128

3001 Apache Dr
Suite a
Jonesboro, AR 72401-7432
Phone (870) 936-8000

3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000

3003 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 931-8800

3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6230
Phone (731) 986-2933

4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1020

4901 E Johnson Ave
Jonesboro, AR 72405-8417
Phone (870) 932-8222

516 Industrial Park Dr
Trumann, AR 72472-9602
Phone (870) 935-8388

589 Hwy 45E S
Medina, TN 38355-1505
Phone (731) 462-0000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-9000

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 747-1000

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28272TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Apr 4, 2017 Accepting new patients
West Tennessee Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Apr 4, 2017 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Cassidy Bayou Medical Clinic Past Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049

7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000

Organizations & group practices 6

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 5

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164537551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38159",
            "telephone_number": "901-383-8860",
            "fax_number": "901-383-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38159",
            "telephone_number": "901-383-8860",
            "fax_number": "901-383-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPMAN",
        "first_name": "CRAIG",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "28272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3805239",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117168",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97421",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3052107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.