Angela Kelliher Mancuso Lipshutz, MD, MPH

Primary specialty

Hospice and Palliative Medicine (Anesthesiology) PhysicianTaxonomy code 207LH0002X

License

D0081313 Issued in MD

Practice address

1355 Piccard Dr Ste 100
Rockville, MD 20850-4317

Phone

(301) 921-4400

NPI assigned

Aug 30, 2008

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Ms. Angela Kelliher Mancuso Former name

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Montgomery Hospice Inc

  dba Montgomery Hospice and Prince George's Hospice

  • Community Based Hospice Care Agency
  • Rockville, MD
  • NPI 1316909203

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1902054182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE",
            "address_2": "RM S-455",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430470",
            "telephone_number": "415-476-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 PICCARD DR STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504317",
            "telephone_number": "301-921-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSHUTZ",
        "first_name": "ANGELA",
        "middle_name": "KELLIHER MANCUSO",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A112586",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0081313",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "A112586",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MD",
            "license": "D0081313",
            "primary": false
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D0081313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MANCUSO",
            "middle_name": "KELLIHER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Louise Lipp, LCSW-C
• Richard E Lippman, O.D., F.A.A.O.
• Gerald A Lipps, DDS
• Julia Aryn Lipps, DDS
• Steven Fred Lipschutz, D.C.
• Jill Nmi Lipton, LCSWC
• Alexandra Lira
• Tracell Lisenby-Mitchell
• Isaiah Lisenby
• Robert Enoch Litman, M.D.

• Anesthesiology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.