Individual provider Active NPI

Eilynn K Sipe, M.D.

  • Colon & Rectal Surgery Physician
  • Sylvania, OH
National Provider Identifier
1790788644
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
35076379S Issued in OH
Practice address
5700 Monroe St Unit 210
Sylvania, OH 43560
Phone
(419) 291-2800
Fax
(419) 471-5826
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 35076379S OH Primary

Addresses

Primary practice location

5700 Monroe St Unit 210
Sylvania, OH 43560

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (419) 291-2800

Other practice location 1

3909 Woodley Rd
Ste 800
Toledo, OH 43606-1180
Phone (419) 291-2800

Other practice location 2

3909 Woodley Rd
Ste 800
Toledo, OH 43606-1180
Phone (419) 291-2800

Other identifiers 2

IdentifierTypeStateIssuer
2399748MedicaidOH
104502637OtherMIMICHIGAN MEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esipe13772@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100601000172 OH Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3577692524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Suite 450
Toledo, OH 43606-5102
Phone (419) 291-2003

2130 W Central Ave
Toledo, OH 43606-3834
Phone (419) 291-4590

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076379SOHMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Mar 1, 2017 Accepting new patients
Promedica Central Physicians CurrentSince Mar 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Toledo Hospital Past Accepting new patients

Locations

5700 Monroe St
Unit 210
Sylvania, OH 43560
Phone (419) 291-1456

5700 Monroe St
Unit 211A
Sylvania, OH 43560
Phone (567) 585-0490

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

3909 Woodley Rd
Ste 800
Toledo, OH 43606
Phone (419) 291-2241

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

1 Seagate
Ste 800
Toledo, OH 43604

Interoperability endpoints

  • Direct secure messaging: esipe13772@direct.promedica.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1790788644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-291-2800",
            "fax_number": "419-471-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST UNIT 210",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-291-2800",
            "fax_number": "419-471-5826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Woodley Rd",
            "address_2": "Ste 800",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061180",
            "country_code": "US",
            "telephone_number": "419-291-2800",
            "fax_number": "419-471-5826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3909 Woodley Rd",
            "address_2": "Ste 800",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061180",
            "country_code": "US",
            "telephone_number": "419-291-2800",
            "fax_number": "419-471-5826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPE",
        "first_name": "EILYNN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35076379S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2399748",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICAID",
            "identifier": "104502637",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esipe13772@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.