Individual provider Active NPI

Cheryl Sandra Lipson, M.D.

  • Nephrology Physician
  • Palmerton, PA
National Provider Identifier
1447259478
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD037243E Issued in PA
Practice address
218 Delaware Ave
Suite a
Palmerton, PA 18071-1858
Phone
(610) 826-6353
Fax
(610) 826-6359
NPI assigned
Jul 20, 2005
Reactivated
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD037243E PA
Nephrology Physician 207RN0300X MD037243E PA Primary

Addresses

Primary practice location

218 Delaware Ave
Suite a
Palmerton, PA 18071-1858

Mailing address

218 Delaware Ave
Suite a
Palmerton, PA 18071-1858
Phone (610) 826-6353

Other identifiers 11

IdentifierTypeStateIssuer
LI101650OtherPABLUE SHIELD IDIV.NUMBER
002660OtherPAFIRST PRIORITY HEALTH
02292600OtherPACAPITAL BLUE CROSS GRP. #
001258810MedicaidPA
001642680MedicaidPA
390004526OtherPARAILROAD MEDICARE ID. NUM
CA869935OtherPABLUE SHIELD GRP. NUMBER
P1607796OtherPAOXFORD HEALTH PLAN
01046401OtherPACAPITAL BLUE CROSS ID.
020286200OtherPAFEDERAL BLACK LUNG
CE2338OtherPARAILROAD MEDICARE GRP.NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101130000983 PA Practitioner - NephrologyPractitioner - Internal Medicine 4183605777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037243EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 1, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Gslpg, Inc CurrentSince Nov 4, 2019 Accepting new patients
Carbon Medical Associates Nephrology Past Accepting new patients

Locations

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

1122 North St
Jim Thorpe, PA 18229
Phone (272) 639-5450

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1447259478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711858",
            "telephone_number": "610-826-6353",
            "fax_number": "610-826-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711858",
            "telephone_number": "610-826-6353",
            "fax_number": "610-826-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "CHERYL",
        "middle_name": "SANDRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037243E",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD037243E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IDIV.NUMBER",
            "identifier": "LI101650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "002660",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GRP. #",
            "identifier": "02292600",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001258810",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001642680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID. NUM",
            "identifier": "390004526",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GRP. NUMBER",
            "identifier": "CA869935",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P1607796",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS ID.",
            "identifier": "01046401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020286200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP.NUM",
            "identifier": "CE2338",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.