Active NPI
Kenneth Robert Lippman, MD
- Orthopaedic Surgery Physician
- Baltimore, MD
National Provider Identifier
1770677759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D0027275
- Practice address
- 809 N Charles Street
Baltimore, MD 21201-5335 - Phone
- (410) 752-1532
- Fax
- (410) 752-7025
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D0027275 | MD | Primary |
| Orthopaedic Surgery Physician | 207X00000X | ME43996 | FL |
Addresses
Primary practice location
809 N Charles Street
Baltimore, MD 21201-5335
Mailing address
809 N Charles Street
Baltimore, MD 21201-5335
Phone (410) 752-1532
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K4230001 | Other | MD | CAREFIRST BLUE CHOICE |
| 35082501 | Other | MD | BLUE CROSS BLUE SHIELD |
| 146250400 | Other | US DEPT OF LABOR | |
| 466841300 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Icahn School of Medicine at Mount Sinai, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7850 Eastern Ave
Baltimore, MD 21224-2115
Phone (410) 284-1760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME43996 | FL | MD | Orthopaedic Surgery Physician |
| D0027275 | MD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth R Lippman MD PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
7850 Eastern Ave
Baltimore, MD 21224
Phone (410) 282-4848
809 N Charles St
Baltimore, MD 21201
Phone (410) 752-1532
Interoperability endpoints
- klippman131325@direct.umm.edu
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1013268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1770677759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 N CHARLES STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015335",
"telephone_number": "410-752-1532",
"fax_number": "410-752-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 N CHARLES STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015335",
"telephone_number": "410-752-1532",
"fax_number": "410-752-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPMAN",
"first_name": "KENNETH",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D0027275",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME43996",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CHOICE",
"identifier": "K4230001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "35082501",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "146250400",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466841300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.