Individual provider Active NPI

Yelena A Lipnik, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1487694899
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D52746 Issued in MD
Practice address
1001 Pine Heights Ave Ste 205
Baltimore, MD 21229-5284
Phone
(410) 369-2000
Fax
(410) 369-2008
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D52746 MD Primary

Addresses

Primary practice location

1001 Pine Heights Ave Ste 205
Baltimore, MD 21229-5284

Mailing address

1001 Pine Heights Ave Ste 205
Baltimore, MD 21229-5284
Phone (410) 369-2000

Other identifiers 1

IdentifierTypeStateIssuer
001301300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040507000948 MD Practitioner - Internal Medicine 5799774543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

2850 N Ridge Rd
Suite 103
Ellicott City, MD 21043-3396
Phone (410) 465-8119

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D52746MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St Agnes Healthcare Inc Past Accepting new patients

Locations

1001 Pine Heights Ave
Ste 205
Baltimore, MD 21229
Phone (410) 369-2000

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3449 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 747-4080

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

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 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1487694899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295284",
            "telephone_number": "410-369-2000",
            "fax_number": "410-369-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295284",
            "telephone_number": "410-369-2000",
            "fax_number": "410-369-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPNIK",
        "first_name": "YELENA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D52746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001301300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.