Kenneth J Lippman, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

015991 Issued in CT

Practice address

18 Sylvan Rd S
Westport, CT 06880-4617

Phone

(203) 226-7219

Fax

(203) 226-5227

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 13, 2017 through Oct 13, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548289937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYLVAN RD S",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804617",
            "telephone_number": "203-226-7219",
            "fax_number": "203-226-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYLVAN RD S",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804617",
            "telephone_number": "203-226-7219",
            "fax_number": "203-226-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "015991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lift Pathways to Renewal (Lift Teen & Parent Wellness Centers)
• Lift Teen and Parent Wellness Centers
• Lift Wellness Group, LLC
• Lindsay Boudreau Counseling LLC
• Doris Lippman
• Julia Liptak
• Polly Derow Litner, LADC
• Yanping Liu, L.AC
• Living in Harmony, LLC
• Jennie Lobasso, L.C.S.W.

• Rheumatology Physician in Westport, CT
• Providers in Westport, CT by specialty
• Rheumatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.