Active NPI
Isaac James Lippe, M.D.
- Family Medicine Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L3733
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00035473 | Other | TX | RR/MEDICARE |
| 1588394-02 | Other | TX | CSHCN |
| 8J8271 | Other | TX | BLUE SHIELD |
| 1588394-01 | Medicaid | TX |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current | Accepting new patients | |
| Providence Health Alliance | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Family Medicine | Current | Accepting new patients |
| Seton Family of Doctors | Family Medicine | Current | 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
- isaac.lippe.2@8363.direct.athenahealth.com
- 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.
-
- Specialist
- Waco, TX
- NPI 1932210838
-
- Rural Health Clinic/Center
- Waco, TX
- NPI 1336590462
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.