Individual provider Active NPI

Monika Lippold, M.D.

  • Anesthesiology Physician
  • Winter Haven, FL
National Provider Identifier
1386667715
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME66382 Issued in FL
Practice address
567 Avenue K SE
Winter Haven, FL 33880-4215
Phone
(863) 299-1231
Fax
(866) 299-1233
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME66382 FL Primary

Addresses

Primary practice location

567 Avenue K SE
Winter Haven, FL 33880-4215

Mailing address

567 Avenue K SE
Winter Haven, FL 33880-4215
Phone (863) 299-1231

Other identifiers 1

IdentifierTypeStateIssuer
376557199MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040510000963 FL Practitioner - AnesthesiologyPractitioner - Emergency Medicine 0143219618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates MD PAGroup PAC ID 9537190723, 4 clinicians

Practice addresses (Care Compare)

567 Ave K SE
Winter Haven, FL 33880-4215
Phone (863) 299-1231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates MD PA Anesthesiology CurrentSince Aug 18, 2008 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

567 Avenue K SE
Winter Haven, FL 33880
Phone (863) 299-1231

409 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1386667715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804215",
            "telephone_number": "863-299-1231",
            "fax_number": "863-299-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804215",
            "telephone_number": "863-299-1231",
            "fax_number": "866-299-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPOLD",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME66382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376557199",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.