Individual provider Active NPI

Isaac James Lippe, M.D.

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1366403545
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3733 Issued in TX
Practice address
2100 Lake Shore Dr
#200
Waco, TX 76708-1271
Phone
(254) 537-6000
Fax
(254) 537-6001
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 L3733 TX Primary

Addresses

Primary practice location

2100 Lake Shore Dr
#200
Waco, TX 76708-1271

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

Other identifiers 4

IdentifierTypeStateIssuer
P00035473OtherTXRR/MEDICARE
1588394-02OtherTXCSHCN
8J8271OtherTXBLUE SHIELD
1588394-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091231000058 TX Practitioner - Family Practice 5092856849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1905 SW H K Dodgen Loop
Ascension Medical Group Temple
Temple, TX 76502-1814
Phone (254) 298-2682

1909 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (877) 324-3310

2100 Lake Shore Dr
Waco, TX 76708-1271
Phone (254) 537-6160

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Mar 23, 2015 Accepting new patients
Providence Health Alliance CurrentSince Mar 23, 2015 Accepting new patients
Seton Family of Doctors CurrentSince May 1, 2023 Accepting new patients
Seton Family of Doctors Family Medicine Current Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

729 Sun Valley Blvd
Hewitt, TX 76643

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

2100 Lake Shore Dr
#200
Waco, TX 76708
Phone (254) 537-6000

2100 Lake Shore Dr
Waco, TX 76708
Phone (254) 537-6160

Interoperability endpoints

  • Direct secure messaging: isaac.lippe.2@8363.direct.athenahealth.com
  • Direct secure messaging: isaac.lippe.1@9635.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1366403545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-537-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE SHORE DR",
            "address_2": "#200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081271",
            "telephone_number": "254-537-6000",
            "fax_number": "254-537-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPE",
        "first_name": "ISAAC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "P00035473",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1588394-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8J8271",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588394-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.