Individual provider Active NPI

Dennis Michael Lippert, M.D.

  • Hospitalist Physician
  • Portland, OR
National Provider Identifier
1467634857
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD27941 Issued in OR
Practice address
10123 SE Market St
Portland, OR 97216-2532
Phone
(503) 261-6985
NPI assigned
Nov 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MD27941 OR
Hospitalist Physician 208M00000X MD27941 OR Primary

Addresses

Primary practice location

10123 SE Market St
Portland, OR 97216-2532

Mailing address

10123 SE Market St
A&M Room #4208
Portland, OR 97216-2532
Phone (503) 261-6985

Other practice location 1

10000 SE Main St
Suite 206
Portland, OR 97216-2448
Phone (503) 261-6940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20080121000335 OR Practitioner - HospitalistPractitioner - Internal Medicine 5395826945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center Internal Medicine CurrentSince Feb 3, 2008 Accepting new patients
Portland Adventist Medical Center CurrentSince Jun 5, 2023 Accepting new patients
Portland Adventist Medical Center Internal Medicine CurrentSince Jun 5, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Feb 3, 2008 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Oct 24, 2017 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

2700 SE Stratus Ave
Unit 406
McMinnville, OR 97128
Phone (503) 435-1200

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

10123 SE Market St
Rm 4208
Portland, OR 97216

10000 SE Main St
Ste 206
Portland, OR 97216
Phone (503) 257-3755

Interoperability endpoints

  • Direct secure messaging: dlippert154610@direct.ohsu.edu

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467634857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "address_2": "A&M ROOM #4208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "503-261-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "503-261-6985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 SE Main St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162448",
            "country_code": "US",
            "telephone_number": "503-261-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27941",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD27941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.