Active NPI
Stephen Samuel Lippman, M.D., PH.D.
- Endocrinology, Diabetes & Metabolism Physician
- Smithsburg, MD
National Provider Identifier
1962463216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- D0035547
- Practice address
- 13538 Edgemont Rd
Smithsburg, MD 21783-1243 - Phone
- (301) 992-6301
- Fax
- (301) 824-7631
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | D0035547 | MD | Primary |
Addresses
Primary practice location
13538 Edgemont Rd
Smithsburg, MD 21783-1243
Mailing address
13538 Edgemont Rd
Smithsburg, MD 21783-1243
Phone (301) 992-6301
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P6224 | Other | MD | INFORMED |
| 419900600 | Medicaid | MD | |
| 528959-05 | Other | MD | CAREFIRST/BLUECROSS PROVI |
| 110240871 | Other | MD | RAILROAD MEDICARE |
| 0L50SS | Other | MD | CAREFIRST/BLUECROSS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1962463216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13538 EDGEMONT RD",
"city": "SMITHSBURG",
"state": "MD",
"postal_code": "217831243",
"telephone_number": "301-992-6301",
"fax_number": "301-824-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13538 EDGEMONT RD",
"city": "SMITHSBURG",
"state": "MD",
"postal_code": "217831243",
"telephone_number": "301-992-6301",
"fax_number": "301-824-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPMAN",
"first_name": "STEPHEN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MD",
"license": "D0035547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "P6224",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419900600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST/BLUECROSS PROVI",
"identifier": "528959-05",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110240871",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST/BLUECROSS GROUP",
"identifier": "0L50SS",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithsburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.