Individual provider Active NPI

Jose Andres Moreno Lopez, MD

  • Surgery Physician
  • Iowa City, IA
National Provider Identifier
1043545833
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
60049-20 Issued in WI
Practice address
540 E Jefferson St Ste 205
Iowa City, IA 52245-2479
Phone
(319) 688-7880
Fax
(319) 688-7881
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-49481 IA
Trauma Surgery Physician 2086S0127X MD-49481 IA
Surgery Physician 208600000X TRN15501 FL
Surgery Physician 208600000X 60049-20 WI Primary
Trauma Surgery Physician 2086S0127X 60049-20 WI

Addresses

Primary practice location

540 E Jefferson St Ste 205
Iowa City, IA 52245-2479

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 688-7880

Other practice location 1

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Other practice location 2

707 14th St
Baraboo, WI 53913-1539
Phone (608) 356-1400

Other identifiers 1

IdentifierTypeStateIssuer
1043545833MedicaidWI

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address jmoralesmoreno206213@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address jmorenolopez315589@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220223000432 IA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7618108291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

540 E Jefferson St
205 U of Ia Health Care Medical Center Ic J
Iowa City, IA 52245-2479
Phone (319) 688-7880

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN15501FLMDSurgery Physician
MD-49481IAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Watertown Physician Practices LLC CurrentSince Nov 15, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Jun 24, 2024 Accepting new patients
State University of Iowa Surgery CurrentSince Jan 31, 2024 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 1, 2020 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

804 Kenyon Rd
Ste 201
Fort Dodge, IA 50501
Phone (515) 574-6865

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

540 E Jefferson St
Ste 205
Iowa City, IA 52245
Phone (319) 688-7880

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

123 Hospital Dr
Ste 2000
Watertown, WI 53098
Phone (920) 206-3042

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Interoperability endpoints

  • Direct secure messaging: jmorenolopez1072866@direct.unitypoint.org
  • Direct secure messaging: jmorenolopez315589@direct-ehr-ssmhc.com
  • Direct secure messaging: jmoralesmoreno206213@direct-ehr-ssmhc.com
  • Direct secure messaging: joseandresmorenolopez@mic.allscriptsdirect.net

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 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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1043545833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-688-7880",
            "fax_number": "319-688-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST STE 205",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452479",
            "telephone_number": "319-688-7880",
            "fax_number": "319-688-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "fax_number": "319-248-7945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 14th St",
            "address_purpose": "LOCATION",
            "city": "Baraboo",
            "state": "WI",
            "postal_code": "539131539",
            "country_code": "US",
            "telephone_number": "608-356-1400",
            "fax_number": "608-356-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO LOPEZ",
        "first_name": "JOSE ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-49481",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IA",
            "license": "MD-49481",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN15501",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "60049-20",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WI",
            "license": "60049-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043545833",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoralesmoreno206213@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jmoralesmoreno206213@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "707 14th St",
            "city": "Baraboo",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539131539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmorenolopez315589@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jmorenolopez315589@direct-ehr-ssmhc.com",
            "address_1": "707 14th St",
            "city": "Baraboo",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539131539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.