Individual provider Active NPI

Gary Lipinski, M.D.

  • Family Medicine Physician
  • Joliet, IL
National Provider Identifier
1275543696
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036059946 Issued in IL
Practice address
213 E Cass St
Joliet, IL 60432-2812
Phone
(815) 726-3377
NPI assigned
Aug 8, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036059946 IL Primary

Addresses

Primary practice location

213 E Cass St
Joliet, IL 60432-2812

Mailing address

213 E Cass St
Joliet, IL 60432-2812
Phone (815) 726-3377

Other identifiers 2

IdentifierTypeStateIssuer
036059946MedicaidIL
2215159OtherILBLUE SHIELD GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036059946ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Chicago Hospitals Network PastSince May 20, 2016 Accepting new patients
Family Health Care, S.C. Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gary.lipinski.1@14307.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1275543696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322812",
            "telephone_number": "815-726-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322812",
            "telephone_number": "815-726-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPINSKI",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036059946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059946",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "2215159",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.