Individual provider Active NPI

Jose Alberto Lopez, M.D.

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1205199098
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ML60293413 Issued in WA
Practice address
3901 Medical Pkwy Ste 200
Austin, TX 78756-4022
Phone
(512) 467-7151
Fax
(512) 467-8809
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ML60293413 WA Primary

Addresses

Primary practice location

3901 Medical Pkwy Ste 200
Austin, TX 78756-4022

Mailing address

3901 Medical Pkwy Ste 200
Austin, TX 78756-4022
Phone (512) 467-7151

Other practice location 1

1411 Medical Pkwy Ste 101
Cedar Park, TX 78613-2696
Phone (512) 467-7151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001901 TX Practitioner - General Surgery 4385965532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Surgeons PLLCGroup PAC ID 6305874322, 7 clinicians

Practice addresses (Care Compare)

3901 Medical Pkwy
Austin, TX 78756-4022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML60293413WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Surgeons PLLC Surgery CurrentSince Aug 15, 2018 Accepting new patients
MPN3 Pharmacy MGT LLC PastSince Aug 28, 2022 Accepting new patients

Locations

3901 Medical Pkwy
Ste 200
Austin, TX 78756
Phone (512) 467-7151

1411 Medical Pkwy
Ste 101
Cedar Park, TX 78613
Phone (512) 399-5958

Interoperability endpoints

  • Direct secure messaging: austinsurgeons.joselopez@141439.advancedmd-direct.com
  • Direct secure messaging: jose.lopez.1@22422.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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1205199098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564022",
            "telephone_number": "512-467-7151",
            "fax_number": "512-467-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564022",
            "telephone_number": "512-467-7151",
            "fax_number": "512-467-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Medical Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132696",
            "country_code": "US",
            "telephone_number": "512-467-7151",
            "fax_number": "512-467-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML60293413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.