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Deactivated NPI 1467453761 Deactivated / Inactive NPI Male Practitioner

Dr. Jay I Lipoff , MD

Specialist • Marion, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Lipoff has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Lipoff, MD was a registered Specialist practicing in Marion, IL. Throughout an active medical career spanning 1 years, Dr. Lipoff provided care at the practice location at 8316 EXPRESS DR until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

8316 Express Dr

Marion, IL 629595895

Telephone 6189988447
Fax 6189989787

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Marion, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036099740

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036099740I (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location December 22, 2009

Registered at 8316 EXPRESS DR, MARION, IL 629595895 (Tel: 6189988447)

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Updated Business Mailing Address December 22, 2009

Registered at 8316 EXPRESS DR, MARION, IL 629595895 (Tel: 6189988447)

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Provider Name / Credentials Updated December 22, 2009

Recorded as JAY LIPOFF, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2009

Specialist (License #036099740 in IL)

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NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467453761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: December 22, 2009
Deactivation Date: March 23, 2006
Sole Proprietor: Yes

Mailing Address

8316 Express Dr

Marion, IL 629595895

Phone: 6189988447

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.