NPIMap

Individual provider Active NPI

Susan R. Lipson, M.D.

  • Family Medicine Physician
  • Ottsville, PA
National Provider Identifier
1366591307
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD427699 Issued in PA
Practice address
8330 Easton Rd Ste C
Ottsville, PA 18942-1615
Phone
(267) 424-8020
Fax
(866) 326-8660
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MD427699 PA Primary

Addresses

Primary practice location

8330 Easton Rd Ste C
Ottsville, PA 18942-1615

Mailing address

801 Ostrum St
Enrollment Center
Bethlehem, PA 18015-1000
Phone (484) 526-6048

Other identifiers 1

IdentifierTypeStateIssuer
067434OtherPAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060411000465 PA Practitioner - Family Practice 1557370020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace Valley Internal Medicine PCGroup PAC ID 8224018569, 5 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

5039 Swamp Rd
Suite 401
Fountainville, PA 18923-9663
Phone (215) 230-8380

8330 Easton Rd
Suite C
Ottsville, PA 18942-1615
Phone (484) 526-3890

8330 Easton Rd C
St Luke'S Pulmonary Associates
Ottsville, PA 18942-1615
Phone (484) 523-3890

925 Main St
Suite 100
Pennsburg, PA 18073-1631
Phone (215) 679-4421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD427699PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
Peace Valley Internal Medicine PC CurrentSince Jan 3, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5039 Swamp Rd
Ste 401
Fountainville, PA 18923
Phone (215) 230-8380

8330 Easton Rd
Ste C
Ottsville, PA 18942
Phone (267) 424-8020

7790 Easton Rd
Ottsville, PA 18942
Phone (610) 847-2071

925 Main St
Ste 100
Pennsburg, PA 18073
Phone (215) 541-1333

Interoperability endpoints

  • Direct secure messaging: susan.lipson@dhcp.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366591307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "ENROLLMENT CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6048",
            "fax_number": "484-526-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 EASTON RD STE C",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "189421615",
            "telephone_number": "267-424-8020",
            "fax_number": "866-326-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "067434",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottsville, PA

Sources for this page

Verify at the official NPI Registry.