Ismael Lopez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03788 Issued in TX

Practice address

2310 N. Ed Carey Drive
Suite 1a
Harlingen, TX 78550

Phone

(956) 428-5522

Fax

(956) 421-2759

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaime S Gomez MdpaGroup PAC ID 9739212333, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jaime S Gomez Mdpa

  • Cardiovascular Disease Physician
  • Brownsville, TX
  • NPI 1023337839
  Medicare reassignment Care Compare group
• HMC RGV Physicians Group

  • Cardiovascular Disease Physician
  • Harlingen, TX
  • NPI 1447639265
  Medicare reassignment
• Juan Joel Garza, MD PA

  • Cardiovascular Disease Physician
  • Harlingen, TX
  • NPI 1174642698
  NPD (past)
• Valley Pulmonary Group, PLLC

  • Pulmonary Disease Physician
  • McAllen, TX
  • NPI 1952497398
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1235110495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 S EXPRESSWAY 77",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503213",
            "telephone_number": "956-428-5522",
            "fax_number": "956-421-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N. ED CAREY DRIVE",
            "address_2": "SUITE 1A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-428-5522",
            "fax_number": "956-421-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ISMAEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352905901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caricia M Lopez, LVN
• Catrina Lopez
• Cleotilde Lopez
• Elisa Lopez, LCSW
• Elizabeth Marie Lopez, LVN
• Jesse Jacob Lopez, BCABA
• Jose Miguel Lopez, RN
• Karla Lopez, MD
• Kristen Lopez
• Leticia L Lopez, MD

• Physician Assistant in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.