Active NPI
Elizabeth Amanda Lippner, M.D.
- Allergy & Immunology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 036.151019
- Practice address
- 225 E Chicago Ave
Chicago, IL 60611-2991 - Phone
- (312) 227-4000
- NPI assigned
- Apr 18, 2013
- Last updated
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Allergy & Immunology Physician | 207K00000X | 036.151019 | IL | Primary |
| Pediatrics Physician | 208000000X | A135609 | CA |
Addresses
Primary practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Other practice location 1
757 Westwood Plz
B711 Rrumc
Los Angeles, CA 90095-7419
Phone (310) 267-9129
Other practice location 2
269 Campus Drive CCSR Building
Suite 3215
Stanford, CA 94305
Phone (650) 498-6074
Other names 1
- Elizabeth Amanda Loo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.151019 | IL | MD | Allergy & Immunology Physician |
| A135609 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confermed of California PC | Current | Accepting new patients | |
| Lurie Children's Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Confermed PC | Pediatrics | Past | Accepting new patients |
| Lurie Children's Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172
11 Silver St
Unit 856
Middletown, CT 06457
Claims Remittance
Carol Stream, IL 60122
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
Interoperability endpoints
- elizabeth.lippner.1@11074.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Irvine, CA
- NPI 1316584709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1295179497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-4000"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_2": "B711 RRUMC",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900957419",
"country_code": "US",
"telephone_number": "310-267-9129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "269 Campus Drive CCSR Building",
"address_2": "Suite 3215",
"address_purpose": "LOCATION",
"city": "STANFORD",
"state": "CA",
"postal_code": "94305",
"country_code": "US",
"telephone_number": "650-498-6074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPPNER",
"first_name": "ELIZABETH",
"middle_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036.151019",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A135609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "LOO",
"middle_name": "AMANDA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.