Active NPI
Michael Julian Lipan, MD
- Otolaryngology Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- TRN10571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Jupiter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN10571 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Florida, LLC | Otolaryngology | Current | Accepting new patients |
| Harbour ENT | Otolaryngology | Past | 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
- 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.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.