Individual provider Active NPI

Luis J Rosado-Lopez, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1235237298
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
18525 Issued in AZ
Practice address
3987 E Paradise Falls Dr
Suite 118
Tucson, AZ 85712-6692
Phone
(520) 408-6955
Fax
(520) 408-9537
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 18525 AZ Primary

Addresses

Primary practice location

3987 E Paradise Falls Dr
Suite 118
Tucson, AZ 85712-6692

Mailing address

PO Box 29675
Dept 2032
Phoenix, AZ 85038-9675
Phone (520) 722-3777

Other identifiers 3

IdentifierTypeStateIssuer
AZ0719260OtherAZBCBSAZ
18525OtherAZAZ MEDICAL LICENSE
290891MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18525AZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
12246AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1235237298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29675",
            "address_2": "DEPT 2032",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389675",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3987 E PARADISE FALLS DR",
            "address_2": "SUITE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126692",
            "telephone_number": "520-408-6955",
            "fax_number": "520-408-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO-LOPEZ",
        "first_name": "LUIS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "18525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0719260",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL LICENSE",
            "identifier": "18525",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290891",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.