Active NPI
David Austin Lippe
- Anesthesiology Physician
- Philadelphia, PA
National Provider Identifier
1275387680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- STUDENT
- Practice address
- 111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824 - Phone
- (215) 955-2370
- Fax
- (215) 955-0677
- NPI assigned
- Apr 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | STUDENT | PA | Primary |
Addresses
Primary practice location
111 S 11TH St Ste 8290
Philadelphia, PA 19107-4824
Mailing address
861 Bullfrog Valley Rd
Hummelstown, PA 17036-9742
Phone (717) 712-6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1275387680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 BULLFROG VALLEY RD",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369742",
"telephone_number": "717-712-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE 8290",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-2370",
"fax_number": "215-955-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPE",
"first_name": "DAVID",
"middle_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-12",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "STUDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.