NPIMap

Individual provider Active NPI

Ida Afshar Lippincott, MD

  • Obstetrics Physician
  • Birmingham, MI
National Provider Identifier
1891901344
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
4301086036 Issued in MI
Practice address
35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0932
Phone
(248) 647-9860
Fax
(248) 647-9864
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 4301086036 MI Primary

Addresses

Primary practice location

35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0932

Mailing address

35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0932
Phone (248) 647-9860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 11, 2012 through Dec 11, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086036MIMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations OB GYN Centers Past Accepting new patients
Medical Directors Consultants PLC Past Accepting new patients
Women First OBGYN Center PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60845

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1891901344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35046 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090932",
            "telephone_number": "248-647-9860",
            "fax_number": "248-647-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35046 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090932",
            "telephone_number": "248-647-9860",
            "fax_number": "248-647-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "IDA",
        "middle_name": "AFSHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301086036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.