Individual provider Active NPI

Robert S Lipson, M.D.

  • Urology Physician
  • Phoenix, AZ
National Provider Identifier
1942202643
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
29201 Issued in AZ
Practice address
5133 N Central Ave Ste 206
Phoenix, AZ 85012-1438
Phone
(602) 264-0608
Fax
(602) 234-0417
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 29201 AZ Primary

Addresses

Primary practice location

5133 N Central Ave Ste 206
Phoenix, AZ 85012-1438

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Other identifiers 6

IdentifierTypeStateIssuer
576762MedicaidAZ
8291317OtherAZCIGNA
66183OtherAZMEDICARE
P01193019OtherAZRAILROAD MCR
5451764OtherAZAETNA
940423OtherAZWELLCARE MEDICARE ADVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041001000166 AZ Practitioner - Urology 0648249086 Reassigns benefits to 1 organization
I20240814004516 KY Practitioner - Urology 0648249086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2605 Kentucky Ave
Suite 202
Paducah, KY 42003-3801
Phone (270) 441-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP313KYMDSports Medicine (Family Medicine) Physician
29201AZMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jul 8, 2024 Accepting new patients
Arizona Oncology Associates PC Urology CurrentSince May 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 8, 2024 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Arizona Urology Specialists, PLLC Urology Past Accepting new patients

Locations

2730 S Val Vista Dr
Ste 177
Gilbert, AZ 85295
Phone (480) 504-0127

6320 W Union Hills Dr
Ste 1600
Glendale, AZ 85308
Phone (602) 357-2400

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5133 N Central Ave
Ste 206
Phoenix, AZ 85012

33300 N 32nd Ave
Ste 230
Phoenix, AZ 85085

20940 N Tatum Blvd
Ste 125
Phoenix, AZ 85050

20950 N Tatum Blvd
Ste 220A
Phoenix, AZ 85050

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

3501 N Scottsdale Rd
Ste 246
Scottsdale, AZ 85251
Phone (480) 994-3668

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 202
Paducah, KY 42003
Phone (270) 415-4690

Organizations & group practices 5

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 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1942202643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-264-0608",
            "fax_number": "602-234-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "29201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576762",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8291317",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "66183",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01193019",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5451764",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE ADVANTAGE",
            "identifier": "940423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.