Individual provider Active NPI

Scott E Lipson, M.D.

  • Neurology Physician
  • Hazel Crest, IL
National Provider Identifier
1811144157
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-1231114 Issued in IL
Practice address
3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2184
Phone
(708) 799-6799
Fax
(708) 799-6991
NPI assigned
Aug 19, 2008
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 237859 MA
Neurology Physician 2084N0400X 036-1231114 IL Primary

Addresses

Primary practice location

3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2184

Mailing address

3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2184
Phone (708) 799-6799

Other practice location 1

111 N Wabash Ave Ste 911
Chicago, IL 60602-1929
Phone (708) 799-6799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101026000227 IL Practitioner - Neurology 3476746173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants, S.C.Group PAC ID 8628039534, 3 clinicians

Practice addresses (Care Compare)

111 N Wabash Ave
Suite 911
Chicago, IL 60602-1929
Phone (708) 799-6799

3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2186
Phone (708) 799-6799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-1231114ILMDNeurology Physician
237859MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants, S.C. Neurology CurrentSince Jul 1, 2010 Accepting new patients
R G Welch Neurology Consultant & Assoc LTD Neurology Past Accepting new patients

Locations

111 N Wabash Ave
Ste 911
Chicago, IL 60602
Phone (708) 799-6799

3330 W 177th St
Ste 3C
Hazel Crest, IL 60429
Phone (708) 647-6797

10660 W 143rd St
Ste B
Orland Park, IL 60462
Phone (312) 349-0055

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1811144157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 3C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-6799",
            "fax_number": "708-799-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 3C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-6799",
            "fax_number": "708-799-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Wabash Ave Ste 911",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021929",
            "country_code": "US",
            "telephone_number": "708-799-6799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "237859",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-1231114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.