Individual provider Active NPI

Robert Sylvan Stipek, DPM

  • Podiatrist
  • Burlington, MA
National Provider Identifier
1902846892
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1455 Issued in MA
Practice address
172 Cambridge Street
Suite 204
Burlington, MA 01803-2984
Phone
(781) 272-5484
Fax
(781) 272-1616
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1455 MA Primary

Addresses

Primary practice location

172 Cambridge Street
Suite 204
Burlington, MA 01803-2984

Mailing address

172 Cambridge Street Suite 204
Burlington, MA 01803-2984
Phone (781) 272-5484

Other identifiers 2

IdentifierTypeStateIssuer
0328472MedicaidMA
110014349AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000585 MA Practitioner - Podiatry 6406865286 Practice locations: Burlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

172 Cambridge St
Suite 204
Burlington, MA 01803-2984
Phone (781) 272-5484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions1-10
Removal of nail tissue520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rstipek49725@tuftsmedicine.direct-ci.com

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1902846892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CAMBRIDGE STREET SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032984",
            "telephone_number": "781-272-5484",
            "fax_number": "781-272-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CAMBRIDGE STREET",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032984",
            "telephone_number": "781-272-5484",
            "fax_number": "781-272-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPEK",
        "first_name": "ROBERT",
        "middle_name": "SYLVAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328472",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110014349A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.