NPIMap

Individual provider Active NPI

Adrienne M Lopata, MD

  • Internal Medicine Physician
  • Port Orchard, WA
National Provider Identifier
1063599280
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60471566 Issued in WA
Practice address
451 SW Sedgwick Rd
Suite 110
Port Orchard, WA 98367-6447
Phone
(360) 874-5900
Fax
(360) 874-5959
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60471566 WA Primary

Addresses

Primary practice location

451 SW Sedgwick Rd
Suite 110
Port Orchard, WA 98367-6447

Mailing address

451 SW Sedgwick Rd
Suite 110
Port Orchard, WA 98367-6447
Phone (360) 874-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220001815 WA Practitioner - Internal Medicine 5092952200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

2600 Compass Rd
Glenview, IL 60026-8001

450 S Kitsap Blvd
Port Orchard, WA 98366-3738

4700 Point Fosdick Dr NW
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60471566WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jan 5, 2015 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Jan 5, 2015 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

451 SW Sedgwick Rd
Ste 110
Port Orchard, WA 98367
Phone (360) 874-5900

450 S Kitsap Blvd
Ste 210
Port Orchard, WA 98366
Phone (360) 874-5900

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 5

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 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1063599280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW SEDGWICK RD",
            "address_2": "SUITE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676447",
            "telephone_number": "360-874-5900",
            "fax_number": "360-874-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW SEDGWICK RD",
            "address_2": "SUITE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676447",
            "telephone_number": "360-874-5900",
            "fax_number": "360-874-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPATA",
        "first_name": "ADRIENNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60471566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.