Active NPI
Luke Patrick Philippsen, MD
- Otolaryngology Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01031105A
- Practice address
- 2525 W University Ave
Ste 501
Muncie, IN 47303-3434 - Phone
- (765) 284-2172
- Fax
- (765) 288-1292
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 01031105A | IN | Primary |
Addresses
Primary practice location
2525 W University Ave
Ste 501
Muncie, IN 47303-3434
Mailing address
1200 W White River Blvd
Muncie, IN 47303-4988
Phone (877) 668-5621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088430 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lphilippsen@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Indiana University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2525 W University Ave
Suite 501
Muncie, IN 47303-3434
Phone (765) 284-2172
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031105A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Past | Accepting new patients |
Locations
410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
2525 W University Ave
Ste 501
Muncie, IN 47303
Phone (317) 284-2172
2525 W University Ave
Muncie, IN 47303
Phone (317) 289-6166
Organizations & group practices 3
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- Hospitalist Physician
- Muncie, IN
- NPI 1598938037
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1861494627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WHITE RIVER BLVD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034988",
"telephone_number": "877-668-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W UNIVERSITY AVE",
"address_2": "STE 501",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033434",
"telephone_number": "765-284-2172",
"fax_number": "765-288-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPPSEN",
"first_name": "LUKE",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01031105A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088430",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lphilippsen@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2525 W University Ave",
"address_2": "Ste 501",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.