Active NPI
Matthew Joel Lipshaw, MD
- Emergency Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301513959
- Practice address
- 3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026 - Phone
- (513) 636-7966
- Fax
- (513) 636-7967
- NPI assigned
- May 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301513959 | MI | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 35.130846 | OH |
Addresses
Primary practice location
3333 Burnet Ave
ML 2008
Cincinnati, OH 45229-3026
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Michigan Medical School, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3621 S State St
Ann Arbor, MI 48108-1633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301513959 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Pediatrics | Current | Accepting new patients |
| Children's Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Regents of the University of Michigan | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Children's Hospital Medical Center | Past | Accepting new patients | |
| Nationwide Children's Hospital | Past | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3333 Burnet Ave
#2008
Cincinnati, OH 45229
Phone (513) 636-7966
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
Organizations & group practices 7
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.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
Pediatrics
-
- Emergency Medicine Physician
- Ann Arbor, MI
- NPI 1811928641
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1508202938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 2008",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-7966",
"fax_number": "513-636-7967"
}
],
"practiceLocations": [
{
"address_1": "1500 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPSHAW",
"first_name": "MATTHEW",
"middle_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2025-07-16",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301513959",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OH",
"license": "35.130846",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.