Individual provider Active NPI

Rashmi K Pandya-Lipman, MD

  • Ophthalmology Physician
  • Southaven, MS
National Provider Identifier
1952399156
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000028647 Issued in TN
Practice address
3964 Goodman Rd E Ste 125
Southaven, MS 38672-6494
Phone
(662) 890-7361
Fax
(662) 890-7369
NPI assigned
Oct 11, 2005
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD0000028647 TN Primary

Addresses

Primary practice location

3964 Goodman Rd E Ste 125
Southaven, MS 38672-6494

Mailing address

PO Box 1329
3964 Goodman Rd, Ste 125
Southaven, MS 38671-0013
Phone (662) 890-7361

Other identifiers 1

IdentifierTypeStateIssuer
00118627MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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
I20080110000360 MS Practitioner - Ophthalmology 7810077260 Reassigns benefits to 1 organization
I20201028003160 TN Practitioner - Ophthalmology 7810077260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pandya-Lipman Eye Specialist, PLLCGroup PAC ID 3870673221, 2 clinicians

Practice addresses (Care Compare)

1715 Kirby Pkwy
Suite 101
Memphis, TN 38120-4320
Phone (901) 754-3937

3964 Goodman Rd E
Suite 125
Southaven, MS 38672-6494
Phone (662) 890-7361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000028647TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya-Lipman Eye Specialist, PLLC CurrentSince Apr 1, 2007 Accepting new patients

Locations

3964 Goodman Rd E
Ste 125
Southaven, MS 38672
Phone (662) 890-7361

60 Physicians Ln
#1
Southaven, MS 38671
Phone (662) 349-0707

1715 Kirby Pkwy
Ste 101
Memphis, TN 38120
Phone (901) 754-3937

Interoperability endpoints

  • Direct secure messaging: rpandyalipman32385@mlh.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1952399156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "address_2": "3964 GOODMAN RD, STE 125",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710013",
            "telephone_number": "662-890-7361",
            "fax_number": "662-890-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 125",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726494",
            "telephone_number": "662-890-7361",
            "fax_number": "662-890-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA-LIPMAN",
        "first_name": "RASHMI",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000028647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118627",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.