PEDRO C LIPPA MD
NPI 1073597258
General Practice in Sarasota, FL

Active since December 01, 2005PECOS Enrolled
1900 BROTHER GEENEN WAY, SARASOTA, FL 34236(941) 566-3220(941) 955-8214 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pedro C Lippa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO C LIPPA MD (NPI 1073597258) is an individual general practice provider in Sarasota, Florida, licensed in Florida (ME74494) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073597258
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePEDRO C LIPPACredential: MD
Location Address1900 BROTHER GEENEN WAYSarasota, FL 34236-7102
Mailing Address1888 Brother Geenen WaySarasota, FL 34236-7118 · (941) 566-3220
Fax(941) 955-8214
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 15, 2019
✔ NPI 1073597258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME74494
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1900 BROTHER GEENEN WAY, Sarasota, FL 34236

Other Names 1

Other Name (5)Charles Lippa Md

Other Identifiers 4

Other13485FL · Blue Cross/blue Shield
OtherE66212TFL · Medicare
Medicaid263073700FL
OtherP00077861Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro C Lippa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pedro Lippa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Florida enrollment
  • 147 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Obstetrics & Gynecology
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Nurse Practitioner (Family)
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Physical Medicine & Rehabilitation
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Urology
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Internal Medicine (Gastroenterology)
1900 BROTHER GEENEN WAY
SARASOTA, FL 34236
Internal Medicine
1900 BROTHER GEENEN WAY, SENIOR FRIENDSHIP CENTERS, INC.
SARASOTA, FL 34236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Lippa's NPI number?

The NPI number for Pedro Lippa is 1073597258. It was assigned to this individual provider in the NPPES registry on December 1, 2005. The provider is also known as Charles Lippa MD.

Where is Pedro Lippa located?

Pedro Lippa practices at 1900 Brother Geenen Way, Sarasota, FL 34236. The listed phone number is (941) 566-3220.

What is Pedro Lippa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Pedro Lippa enrolled in Medicare?

Yes. Pedro Lippa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pedro Lippa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Lippa reassigns Medicare benefits to Small Hospital Innovations LLC (Clewiston, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Lippa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro Lippa was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.