Individual provider Active NPI

Valery N Lipenko, MD

  • Neurology Physician
  • Bedford, TX
National Provider Identifier
1982604427
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L6498 Issued in TX
Practice address
1604 Hospital Pkwy Ste 200
Bedford, TX 76022-6930
Phone
(817) 848-4485
Fax
(817) 848-4490
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L6498 TX Primary
Neurology Physician 2084N0400X ME0086696 FL

Addresses

Primary practice location

1604 Hospital Pkwy Ste 200
Bedford, TX 76022-6930

Mailing address

1604 Hospital Pkwy Ste 200
Bedford, TX 76022-6930
Phone (817) 848-4485

Other practice location 1

1604 Hospital Pkwy Ste 307
Bedford, TX 76022-6931
Phone (817) 545-0910

Other identifiers 4

IdentifierTypeStateIssuer
P00020776OtherRAILROAD MEDICARE
P00734707OtherRAILROAD MEDICARE
TPI195912402MedicaidTX
266642100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vlipenko19748@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000522 TX Practitioner - Neurology 7517855778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Neurological Center PLLCGroup PAC ID 8123275526, 4 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

1604 Hospital Pkwy
Suite 307
Bedford, TX 76022-6931
Phone (817) 545-0900

2000 FM
Midlothian, TX 76065-6559
Phone (469) 856-2476

Hospital & facility affiliations

  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639

Merit-based Incentive Payment System (MIPS)

Final score
77.79 of 100Reported as individual
Quality
59.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0086696FLMDNeurology Physician
L6498TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2009 Accepting new patients
Integris Neuro Group LLC Neurology CurrentSince Aug 1, 2025 Accepting new patients
Integris Neuro Group LLC Neurology CurrentSince Aug 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2009 Accepting new patients
Chicago Medical Specialists Chartered CurrentSince Oct 14, 2023 Accepting new patients
Ms Neurological Center, PLLC CurrentSince May 13, 2020 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Edward Bass MD PA Neurology PastSince Jul 1, 2005 Accepting new patients

Locations

1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002

1604 Hospital Pkwy
Ste 200
Bedford, TX 76022
Phone (817) 685-4485

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1604 Hospital Pkwy
Ste 307
Bedford, TX 76022
Phone (817) 545-0900

2012 Justin Rd
Ste 200A
Lewisville, TX 75077
Phone (972) 358-0489

Interoperability endpoints

  • Direct secure messaging: vlipenko19748@direct.texashealth.org
  • Direct secure messaging: valery.lipenko.p1@direct.txns.nextgenshare.com

Organizations & group practices 8

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1982604427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226930",
            "telephone_number": "817-848-4485",
            "fax_number": "817-848-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226930",
            "telephone_number": "817-848-4485",
            "fax_number": "817-848-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Hospital Pkwy Ste 307",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226931",
            "country_code": "US",
            "telephone_number": "817-545-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPENKO",
        "first_name": "VALERY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L6498",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0086696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00020776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00734707",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI195912402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266642100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlipenko19748@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1604 Hospital Pkwy Ste 200",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760226930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.