Individual provider Active NPI

Michael L Lipton, MD PHD

  • Neuroradiology Physician
  • Bronx, NY
National Provider Identifier
1366535502
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
186546 Issued in NY
Practice address
MMC - Dept. of Radiology
111 East 210TH Street
Bronx, NY 10467
Phone
(718) 920-4030
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 186546 NY
Neuroradiology Physician 2085N0700X 186546 NY Primary

Addresses

Primary practice location

MMC - Dept. of Radiology
111 East 210TH Street
Bronx, NY 10467

Mailing address

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071106000109 NY Practitioner - Diagnostic Radiology 9830286046 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbiadoctors/Newyork-PresbyterianimagingGroup PAC ID 6608141981, 106 clinicians
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, 2,262 clinicians
Columbia/Newyork-Presbyterian Advanced Imaging Inc.Group PAC ID 9436686458, 87 clinicians

Practice addresses (Care Compare)

1111 Westchester Ave
West Harrison, NY 10604-3525
Phone (212) 326-8518

504 W 35TH St
New York, NY 10001-1306
Phone (212) 305-7114

51 W 51St St
Suite 300
New York, NY 10019-1951
Phone (212) 326-8518

51 W 51St St
Suite 301
New York, NY 10019-6113
Phone (212) 326-8874

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

703 White Plains Rd
Scarsdale, NY 10583-5009
Phone (212) 326-8518

722 W 168TH St
New York, NY 10032-3727
Phone (212) 342-2889

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Neuroradiology CurrentSince May 17, 2023 Accepting new patients
Columbia/Newyork-Presbyterian Advanced Imaging Inc. CurrentSince Nov 23, 2024 Accepting new patients
Montefiore Medical Center Neuroradiology CurrentSince Jan 1, 2006 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince May 17, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2006 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Montefiore Medical Center Past Accepting new patients
Montefiore Medical Park Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

1625 Poplar St
Ste 100
Bronx, NY 10461
Phone (718) 405-8440

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

111 E 210th St
Bronx, NY 10467

722 W 168th St
New York, NY 10032
Phone (212) 305-6754

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1366535502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF RADIOLOGY",
            "address_2": "111 EAST 210TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTON",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "186546",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "186546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.