Mary Ruth Motomal Lopez, M.D.
Individual provider Active NPI Family Medicine Physician · Martinsburg, WV
NPI 1154371912 · NPPES record last updated Apr 12, 2019
Key facts
- NPI
- 1154371912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22265 (WV)
- Practice address
- 233 Warm Springs Ave
Martinsburg, WV 25404-3825 - Phone
- (304) 262-8686
- Fax
- (240) 485-0916
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
233 Warm Springs Ave
Martinsburg, WV 25404-3825
Phone (304) 262-8686
Hospital & facility affiliations
- Panhandle Home Health, Inc.
- Caring Angels Home Health, LLC
- Hospice of the Panhandle, Inc
- Berkeley Medical Center
- Jefferson Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061208000001 | WV | Practitioner - Family Practice | 6800895475 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| David a. Spott, M.D., P.a. | Past | Accepting new patients |
Interoperability endpoints
- mlopez1029@direct.wvuhsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22265 | WV | Yes |
Addresses
Primary practice location
233 Warm Springs Ave
Martinsburg, WV 25404-3825
Mailing address
233 Warm Springs Ave
Martinsburg, WV 25404-3825
Phone (304) 262-8686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00966052 | Other | WV | RAIL ROAD MEDICARE |
| 3810007064 | Medicaid | WV |
Other providers in Martinsburg, WV
- Melissa Lombardo
- Kayla Lones
- Steven Dunn Longerbeam
- Pamela Longmore
- Alicia Lopez
- Miriam Lopez
- Stacy Lopez
- Lauree Lorensen
- Adam Lorfink
- Richard Brooks Losh
All providers in Martinsburg, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.