Individual provider Active NPI

Oscar Jonathan Villasis Lopez, DO

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1033748447
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2651 Issued in AL
Practice address
21950 State Highway 181 Ste A1
Fairhope, AL 36532-4393
Phone
(251) 621-6520
Fax
(251) 621-6521
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO.2651 AL Primary

Addresses

Primary practice location

21950 State Highway 181 Ste A1
Fairhope, AL 36532-4393

Mailing address

1851 N McKenzie St Ste 101
Foley, AL 36535-4703

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena FOLEY CLINIC CORP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230629004210 AL Practitioner - Family Practice 9436518008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Daphne Family Practice LLCGroup PAC ID 7618362948, 8 clinicians

Practice addresses (Care Compare)

21950 State Hwy 181
Suite A1
Fairhope, AL 36532-4393
Phone (251) 621-6520

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Baldwin Health Hospital, Foley, AL, CCN 010083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Daphne Family Practice, LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
S & K PC Single Specialty Current Accepting new patients

Locations

21950 State Highway 181
Ste A1
Fairhope, AL 36532
Phone (251) 621-6520

21950 State Highway 181
Fairhope, AL 36532
Phone (251) 410-5437

Organizations & group practices 2

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 3

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1033748447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N MCKENZIE ST STE 101",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365354703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21950 STATE HIGHWAY 181 STE A1",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324393",
            "telephone_number": "251-621-6520",
            "fax_number": "251-621-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "OSCAR JONATHAN",
        "middle_name": "VILLASIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "Y",
            "affiliationName": "FOLEY CLINIC CORP",
            "address_1": "1615 N Alston St",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365352208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.