Individual provider Active NPI

Pablo M. Lopez, MD

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1104081074
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
249426 Issued in NY
Practice address
4 Tower PL FL 8
Albany, NY 12203-3714
Phone
(518) 489-4471
Fax
(518) 489-4506
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 249426 NY
Family Medicine Physician 207Q00000X 249426 NY Primary

Addresses

Primary practice location

4 Tower PL FL 8
Albany, NY 12203-3714

Mailing address

4 Tower PL FL 8
Albany, NY 12203-3714
Phone (518) 489-4471

Other identifiers 3

IdentifierTypeStateIssuer
10137832OtherNYCDPHP
3005913OtherMVP
7780P1OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20081106000811 NY Practitioner - Family Practice 5193884096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center for Rheumatology LLPGroup PAC ID 5395788327, 11 clinicians

Practice addresses (Care Compare)

4 Tower PL
FL 8
Albany, NY 12203-3714
Phone (518) 489-4471

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Merit-based Incentive Payment System (MIPS)

Final score
93.37 of 100Reported as group
Quality
97.28
Improvement activities
40
Cost
81.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249426NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Rheumatology, LLP CurrentSince Oct 16, 2023 Accepting new patients

Locations

4 Tower Pl
Fl 8
Albany, NY 12203
Phone (518) 489-4471

6 Care Ln
Ste 101
Saratoga Springs, NY 12866
Phone (518) 489-4471

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: plopez@landmarkhealth-direct.org
  • Direct secure messaging: pablo.lopez.p1@direct.tcfr.nextgenshare.com

Organizations & group practices 1

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 4

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1104081074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TOWER PL FL 8",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033714",
            "telephone_number": "518-489-4471",
            "fax_number": "518-489-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TOWER PL FL 8",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033714",
            "telephone_number": "518-489-4471",
            "fax_number": "518-489-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PABLO",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "249426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10137832",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "3005913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7780P1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.