Individual provider Active NPI

Jose A Lopez, MD

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1053383810
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9786 Issued in TX
Practice address
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone
(956) 362-8677
Fax
(956) 362-7253
NPI assigned
Feb 6, 2006
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9786 TX Primary

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539-5503

Mailing address

PO Box 5958
McAllen, TX 78502-5958
Phone (956) 362-8677

Other practice location 1

1810 E Griffin Pkwy
Ste. A4
Mission, TX 78572-8518
Phone (956) 580-8072

Other practice location 2

1401 E 8th St
Weslaco, TX 78596-6640
Phone (833) 887-4863

Other identifiers 6

IdentifierTypeStateIssuer
8U5313OtherTXBLUE CROSS BLUE SHIELD
174204109MedicaidTX
P00263584OtherTXRAILROAD MEDICARE
174204102MedicaidTX
174204111MedicaidTX
H08MM43001OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050126000756 TX Practitioner - Family Practice 8527018605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance HospitalistsGroup PAC ID 6800019407, 42 clinicians

Practice addresses (Care Compare)

3509 E Main Ave
Suite 101
Alton, TX 78573-1562
Phone (956) 580-9950

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-8677

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Hospitalists Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Little Donkey Health Services Inc. CurrentSince Aug 15, 2013 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
Little Donkey Health Services Inc Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Planet Med LP Family Medicine PastSince Apr 15, 2005 Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

3509 E Main Ave
Ste 101
Mission, TX 78573
Phone (956) 580-9950

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/
  • Direct secure messaging: jose.alfonso.lopez.1@18763.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1053383810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5958",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025958",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395503",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 E Griffin Pkwy",
            "address_2": "Ste. A4",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785728518",
            "country_code": "US",
            "telephone_number": "956-580-8072",
            "fax_number": "956-583-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966640",
            "country_code": "US",
            "telephone_number": "833-887-4863",
            "fax_number": "844-719-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8U5313",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174204109",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00263584",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174204102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174204111",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08MM43001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.