Keith M Lipsmeyer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-5214 Issued in AR

Practice address

1711 E Harding St
Morrilton, AR 72110-4507

Phone

(501) 354-4637

Fax

(501) 552-5326

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Anthonys Hospital AssociationGroup PAC ID 4082516554, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Vincent Health at Home Home health agency, Morrilton, AR, CCN 047099
• Elite Home Health Home health agency, Little Rock, AR, CCN 047028
• CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.lipsmeyer@svmgs.eclinicaldirectplus.com
• Direct secure messaging: klipsmeyer468756@direct.stlukeshealth.org

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.

• St. Anthony'S Hospital Association

  • Hospitalist Physician
  • Morrilton, AR
  • NPI 1992137236

  AR

  Medicare reassignment Care Compare group
• St Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1891778049
  Care Compare group NPD (past)
• St. Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1023160314
  Care Compare group
• St. Anthony'S Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Morrilton, AR
  • NPI 1215089602
  Care Compare group
• St. Anthony'S Hospital Association

  • Rural Health Clinic/Center
  • Morrilton, AR
  • NPI 1215915459

  Family Medicine

  NPD
• St. Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1386796670
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHI National Home Care, LLC

  • Home Health Agency
  • Morrilton, AR
  • NPI 1801167424
  Care Compare affiliation
• LHCG Xlii, LLC

  • Home Health Agency
  • Little Rock, AR
  • NPI 1447597182
  Care Compare affiliation
• St Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1891778049

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1528055738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100677",
            "telephone_number": "501-354-4637",
            "fax_number": "501-552-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E HARDING ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104507",
            "telephone_number": "501-354-4637",
            "fax_number": "501-552-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSMEYER",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101625001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Morrilton, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.

Verify at the official NPI Registry.