NPIMap

Individual provider Active NPI

David Emory Lippman, M.D.

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1922090349
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01060808A Issued in IN
Practice address
315 Mulberry St
Evansville, IN 47713-1252
Phone
(812) 421-7489
Fax
(812) 421-7497
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01060808A IN Primary

Addresses

Primary practice location

315 Mulberry St
Evansville, IN 47713-1252

Mailing address

315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489

Other identifiers 5

IdentifierTypeStateIssuer
200079040BOtherINMEDICAID GRP
000000377448OtherINANTHEM BCBS
01060808AOtherINPHYSICIAN LICENSE
637650ROtherMEDICARE #
200338590MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlippman40512@direct.deaconess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922001128 IN Practitioner - Internal Medicine 0446284046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Echo Community Health Care IncGroup PAC ID 4981515145, 18 clinicians

Practice addresses (Care Compare)

315 Mulberry St
Evansville, IN 47713-1252
Phone 81242174892244

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Evansville, IN, CCN 157703
  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Enhabit Home Health Home health agency, Evansville, IN, CCN 157529
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060808AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Community Health Care, Inc CurrentSince Sep 6, 2005 Accepting new patients
Echo Community Health Care, Inc. CurrentSince Sep 6, 2005 Accepting new patients
Echo Community Health Care, Inc. Current Accepting new patients
U.S. Healthworks Medical Group of Washington, PS Past Accepting new patients

Locations

501 John St
Ste 12
Evansville, IN 47713
Phone (812) 421-7489

25 W Division St
Evansville, IN 47710
Phone (812) 436-0205

315 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489

401 John St
Evansville, IN 47713
Phone (812) 436-0224

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1922090349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "812-421-7489",
            "fax_number": "812-421-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "812-421-7489",
            "fax_number": "812-421-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "DAVID",
        "middle_name": "EMORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060808A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP",
            "identifier": "200079040B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000377448",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "01060808A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "637650R",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338590",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlippman40512@direct.deaconess.com",
            "affiliation": "N",
            "endpointDescription": "Epic Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 Mulberry St",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477131252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.