Individual provider Active NPI

Erika A Lopez Bertiery, MD

  • Pediatric Hematology & Oncology Physician
  • Dallas, TX
National Provider Identifier
1215242383
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
P7151 Issued in TX
Practice address
7777 Forest LN Ste D400
Dallas, TX 75230-6899
Phone
(972) 566-6647
Fax
(972) 566-6496
NPI assigned
Aug 13, 2010
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P7151 TX
Pediatric Hematology & Oncology Physician 2080P0207X P7151 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste D400
Dallas, TX 75230-6899

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

1611 NW 12th Ave
Holtz Building #6006
Miami, FL 33136-1005
Phone (305) 585-6042

Other practice location 2

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5700

Other identifiers 1

IdentifierTypeStateIssuer
359487103MedicaidTX

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
I20160627001509 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 2163713876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite 400
Dallas, TX 75230-2571
Phone (972) 566-7790

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Pediatric Hematology-Oncology CurrentSince Apr 17, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Jun 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Oncology PA Pediatric Hematology-Oncology Current Accepting new patients
Texas Oncology PA Pediatric Hematology-Oncology CurrentSince Apr 17, 2020 Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7777 Forest Ln
Ste D400
Dallas, TX 75230
Phone (972) 566-6647

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: elopezbertiery476998@christushealth.direct-ci.net
  • Direct secure messaging: erika.lopezbertiery@direct.myhealthep.org
  • Direct secure messaging: erika.lopezbertiery@txo.ikm.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1215242383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306899",
            "telephone_number": "972-566-6647",
            "fax_number": "972-566-6496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "HOLTZ BUILDING #6006",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-6042",
            "fax_number": "305-545-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79905",
            "country_code": "US",
            "telephone_number": "915-215-5700",
            "fax_number": "915-215-8872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ BERTIERY",
        "first_name": "ERIKA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P7151",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "TX",
            "license": "P7151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359487103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.