Individual provider Active NPI

Brian Anthony Lipari, M.D.

  • Family Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1720379365
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME117518 Issued in FL
Practice address
12989 Southern Blvd Ste 103
Loxahatchee, FL 33470
Phone
(561) 268-2880
Fax
(561) 268-2881
NPI assigned
May 1, 2011
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME117518 FL
Family Medicine Physician 207Q00000X ME117518 FL Primary

Addresses

Primary practice location

12989 Southern Blvd Ste 103
Loxahatchee, FL 33470

Mailing address

12989 Southern Blvd Ste 103
Loxahatchee, FL 33470-9205
Phone (561) 268-2880

Other identifiers 1

IdentifierTypeStateIssuer
ME117518OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141006001761 FL Practitioner - Family Practice 5092935528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12989 Southern Blvd
Loxahatchee, FL 33470-9205
Phone (561) 268-2880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellingtonmd, LLC Family Medicine CurrentSince Feb 12, 2018 Accepting new patients

Locations

12989 Southern Blvd
Ste 103
Loxahatchee, FL 33470
Phone (561) 268-2880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHGCBD/Endpoint/JHGCBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1720379365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD STE 103",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709205",
            "telephone_number": "561-268-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD STE 103",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-268-2880",
            "fax_number": "561-268-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPARI",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-01",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME117518",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME117518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME117518",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.