NPIMap

Individual provider Active NPI

Jose Lopez, MD

  • Family Medicine Physician
  • Orleans, IN
National Provider Identifier
1114009149
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01053941A Issued in IN
Practice address
155 E Main St
Orleans, IN 47452
Phone
(812) 865-3400
Fax
(812) 865-4890
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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 01053941A IN Primary

Addresses

Primary practice location

155 E Main St
Orleans, IN 47452

Mailing address

155 E Main St
Orleans, IN 47452
Phone (812) 865-3400

Other identifiers 1

IdentifierTypeStateIssuer
200531480MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050930000407 IN Practitioner - Family Practice 0648205393 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novenza Practice Group IIGroup PAC ID 3678057312, 16 clinicians
Orleans Medical Clinic LLCGroup PAC ID 4587699236, 2 clinicians

Practice addresses (Care Compare)

1200 N State Rd
Suite 135
Greenwood, IN 46142-1003
Phone (317) 707-4134

155 E Martin St
Orleans, IN 47452-9012
Phone (812) 865-3400

Hospital & facility affiliations

  • Gentiva I Hospice, Evansville, IN, CCN 151558
  • Hosparus Southern Indiana Hospice, New Albany, IN, CCN 151504
  • Indiana University Health Paoli Hospital Hospital, Paoli, IN, CCN 151306
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Paoli Health and Living Community Nursing home, Paoli, IN, CCN 155333
  • Todd-Dickey Nursing and Rehabilitation Nursing home, Leavenworth, IN, CCN 155368
  • Springs Valley Meadows Nursing home, French Lick, IN, CCN 155126
  • Timbers of Jasper the Nursing home, Jasper, IN, CCN 155478
  • Brickyard Healthcare - Lincoln Hills Care Center Nursing home, Tell City, IN, CCN 155384

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053941AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Medical Clinic,LLC Family Medicine CurrentSince Oct 1, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

155 E Martin St
Orleans, IN 47452
Phone (812) 704-4470

Interoperability endpoints

  • Direct secure messaging: joselopez@omedc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paoli Health & Living CommunityPaoli, IN, CCN 155333 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2017
Jun 1, 2017
Springs Valley MeadowsFrench Lick, IN, CCN 155126 Skilled nursing facility Contracted Managing Employee Dec 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1114009149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "city": "ORLEANS",
            "state": "IN",
            "postal_code": "47452",
            "telephone_number": "812-865-3400",
            "fax_number": "812-865-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MAIN ST",
            "city": "ORLEANS",
            "state": "IN",
            "postal_code": "47452",
            "telephone_number": "812-865-3400",
            "fax_number": "812-865-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01053941A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, IN

Sources for this page

Verify at the official NPI Registry.