Individual provider Active NPI

Kenneth Robert Lippman, MD

  • Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1770677759
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0027275 Issued in MD
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

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
K4230001OtherMDCAREFIRST BLUE CHOICE
35082501OtherMDBLUE CROSS BLUE SHIELD
146250400OtherUS DEPT OF LABOR
466841300MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000192 MD Practitioner - Orthopedic Surgery 3274693981 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ME43996FLMDOrthopaedic Surgery Physician
D0027275MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth R Lippman MD PA Orthopaedic Surgery CurrentSince Jan 1, 1975 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.