Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lezode Kipoliongo, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1760475792

Lezode Kipoliongo, MD is an Obstetrics/Gynecology in Middletown, New York. Graduated from University of Wisconsin School of Medicine in 1998, 28 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Trained at
University of Wisconsin School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

95 Crystal Run Rd
Middletown, NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 214927 (NY)

Record details

NPI number1760475792
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address155 Crystal Run Rd, Middletown, NY 10941-4028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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