Individual provider Active NPI

Emily Jenkins Sippel, M.D

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1306983192
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0064436 Issued in MD
Practice address
3700 Fleet St
Baltimore, MD 21224-4200
Phone
(410) 558-4900
Fax
(410) 522-5070
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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 D0064436 MD Primary

Addresses

Primary practice location

3700 Fleet St
Baltimore, MD 21224-4200

Mailing address

3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 732-8800

Other identifiers 1

IdentifierTypeStateIssuer
332780001OtherMDPAC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070307000119 MD Practitioner - Family Practice 6002919321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Sports Medicine and Rehabilitation LLCGroup PAC ID 4385787910, shared by 2 NPIs, 25 clinicians
Baltimore Medical System, Inc.Group PAC ID 5395653455, 86 clinicians

Practice addresses (Care Compare)

519 Bayview Blvd
Baltimore, MD 21224-2825
Phone (443) 335-6910

5525 Eastern Ave
Suite 301
Baltimore, MD 21224-2796
Phone (410) 558-4804

Hospital & facility affiliations

  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064436MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.sippel.p1@direct.bmsi.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1306983192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132029",
            "telephone_number": "410-732-8800",
            "fax_number": "410-534-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FLEET ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244200",
            "telephone_number": "410-558-4900",
            "fax_number": "410-522-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPPEL",
        "first_name": "EMILY",
        "middle_name": "JENKINS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0064436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAC",
            "identifier": "332780001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.