Manuel Enrique Lopez Diez, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME 107153 Issued in FL

Practice address

4863 Palm Coast Pkwy NW
Palm Coast, FL 32137-3666

Phone

(386) 222-7746

Fax

(904) 212-1351

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

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 2

Specialty

Pain Management

Education

University of Puerto Rico School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Lopez Pain Management LLCGroup PAC ID 8325323538, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mlopez437155@directhisp.wakemed.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DJGCBD/Endpoint/DJGCBD

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.

• Lopez Pain Management LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palm Coast, FL
  • NPI 1871032466
  Medicare reassignment Care Compare group NPD
• Raleigh Neurosurgical Clinic, Inc.

  • Neurological Surgery Physician
  • Raleigh, NC
  • NPI 1598702490
  Medicare reassignment Care Compare group NPD
• Lopez Pain Management LLC

  • Interventional Pain Medicine Physician
  • Spring Hill, FL
  • NPI 1902655731
  NPD
• Raleigh Neurosurgical Clinic, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Goldsboro, NC
  • NPI 1801660212
  NPD
• Physicians Group Services PA

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  Pain Medicine

  NPD (past)

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

• Adventhealth Palm Coast Parkway Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1144458100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BENT TRL",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810846",
            "telephone_number": "904-707-5498",
            "fax_number": "904-212-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 PALM COAST PKWY NW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373666",
            "telephone_number": "386-222-7746",
            "fax_number": "904-212-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DIEZ",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PR",
            "license": "15704",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301087534",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 107153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008263500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lolo'S Sweet-Cakes and Catering LLC
• Max Lombardo, DPT
• Jale Lomeli
• Longevity Lives LLC
• Bruno Lopes Cancado Machado, MD
• Lopez Pain Management LLC
• Daylie D Lopez, MD
• Artem I Lorens
• Lori Michels, LLC
• Caren Lottering

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.

Verify at the official NPI Registry.