Active NPI
Luis Emilio Lopez la Rosa, MD
- Internal Medicine Physician
- Smithfield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- CMD19061
- Practice address
- 41 Sanderson Rd
Smithfield, RI 02917-2602 - Phone
- (401) 349-5255
- Fax
- (401) 349-2408
- NPI assigned
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | CMD19061 | RI | Primary |
Addresses
Primary practice location
41 Sanderson Rd
Smithfield, RI 02917-2602
Mailing address
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other practice location 1
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other practice location 2
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (718) 918-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219
Hospital & facility affiliations
- Nurse on Call
- Amedisys Home Health Care
- Our Lady of Fatima Hospital
- The Miriam Hospital
- Kent County Memorial Hospital
- Roger Williams Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMD19061 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chartercare Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Prospect Chartercare Physicians, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889
1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327
41 Sanderson Rd
Ste 206
Smithfield, RI 02917
Phone (401) 349-2203
41 Sanderson Rd
Smithfield, RI 02917
Phone (401) 349-3990
Interoperability endpoints
- luis.lopez.la.rosa.1@9000.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1235945650
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lincoln, RI
- NPI 1578839361
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- Home Health Agency
- Warwick, RI
- NPI 1770537854
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1104434455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SANDERSON RD",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029172602",
"telephone_number": "401-349-5255",
"fax_number": "401-349-2408"
}
],
"practiceLocations": [
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-493-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Pelham Pkwy S",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611138",
"country_code": "US",
"telephone_number": "718-918-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ LA ROSA",
"first_name": "LUIS",
"middle_name": "EMILIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "CMD19061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.