Individual provider Active NPI

Michael Julian Lipan, MD

  • Otolaryngology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1821240771
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
TRN10571 Issued in FL
Practice address
4060 Pga Blvd
Suite 204
Palm Beach Gardens, FL 33410-6574
Phone
(561) 776-7112
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X TRN10571 FL Primary

Addresses

Primary practice location

4060 Pga Blvd
Suite 204
Palm Beach Gardens, FL 33410-6574

Mailing address

4060 Pga Blvd Ste 204
Palm Beach Gardens, FL 33410-6570
Phone (305) 799-3151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlipan@entaaf.com Direct ENT and Allergy Associates of Florida, LLC

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
I20120816000098 FL Practitioner - Otolaryngology 5092983858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

4060 Pga Blvd
Suite 204
Palm Beach Gardens, FL 33410-6570
Phone (561) 776-7112

Hospital & facility affiliations

  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN10571FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Florida, LLC Otolaryngology CurrentSince Aug 4, 2012 Accepting new patients
Harbour ENT Otolaryngology PastSince Aug 4, 2012 Accepting new patients

Locations

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

3540 Forest Hill Blvd
Ste 204
West Palm Beach, FL 33406
Phone (561) 969-2001

4060 Pga Blvd
Ste 204
West Palm Beach, FL 33410
Phone (561) 776-7112

Interoperability endpoints

  • Direct secure messaging: mlipan20297@jupitermedicalcenter.direct-ci.com

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 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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821240771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 PGA BLVD STE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106570",
            "telephone_number": "305-799-3151",
            "fax_number": "561-776-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 PGA BLVD",
            "address_2": "SUITE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106574",
            "telephone_number": "561-776-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPAN",
        "first_name": "MICHAEL",
        "middle_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "TRN10571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlipan@entaaf.com",
            "affiliation": "Y",
            "affiliationName": "ENT and Allergy Associates of Florida, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4060 Pga Blvd",
            "address_2": "Suite 204",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334106574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.