Active NPI
Gerardo C Lopez, M.D.
- Cardiovascular Disease Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 17559
- Practice address
- 527 Medical Park Dr Ste 304
Bridgeport, WV 26330 - Phone
- (304) 933-3830
- Fax
- (304) 933-3837
- NPI assigned
- May 16, 2006
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 17559 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr Ste 304
Bridgeport, WV 26330
Mailing address
527 Medical Park Dr Ste 304
Bridgeport, WV 26330-9010
Phone (304) 933-3830
Other practice location 1
527 Medical Park Dr
Ste 306
Bridgeport, WV 26330-9008
Phone (304) 933-3830
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | glopez928@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | glopez928@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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
- Cardiovascular Disease (Cardiology)
- Education
- West Virginia University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-3153
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center | Cardiovascular Disease | Current | Accepting new patients |
| Webster County Memorial Hospital | Current | Accepting new patients | |
| Clarksburg Cardiovascular PLLC | Cardiovascular Disease | Current | Accepting new patients |
| United Hospital Center, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| United Hospital Center | Past | Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
527 Medical Park Dr
Ste 304
Bridgeport, WV 26330
Phone (304) 842-0007
527 Medical Park Dr
Ste 306
Bridgeport, WV 26330
Phone (304) 933-3830
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2185
Interoperability endpoints
- glopez928@direct.wvuhsdirect.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Bridgeport, WV
- NPI 1750768149
-
dba UHC Professional Group
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1669501144
Cardiovascular Disease
-
- Critical Access Hospital
- Webster Springs, WV
- NPI 1699778704
-
- Rheumatology Physician
- Bridgeport, WV
- NPI 1780767772
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Critical Access Hospital
- Philippi, WV
- NPI 1548246622
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174575484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 304",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309010",
"telephone_number": "304-933-3830",
"fax_number": "304-933-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 304",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-3830",
"fax_number": "304-933-3837"
}
],
"practiceLocations": [
{
"address_1": "527 Medical Park Dr",
"address_2": "Ste 306",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263309008",
"country_code": "US",
"telephone_number": "304-933-3830",
"fax_number": "304-933-3837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "GERARDO",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2022-07-21",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "17559",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "glopez928@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "527 Medical Park Dr Ste 304",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309010",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "glopez928@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "527 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.