Active NPI
John Lopez, DO
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 010528
- Practice address
- 5652 E Baseline Rd
Mesa, AZ 85206-4713 - Phone
- (480) 567-0350
- NPI assigned
- Mar 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB11177300 | NJ | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 010528 | AZ | Primary |
Addresses
Primary practice location
5652 E Baseline Rd
Mesa, AZ 85206-4713
Mailing address
8102 E Cypress St
Scottsdale, AZ 85257-2815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5652 E Baseline Rd
Mesa, AZ 85206-4713
Phone (480) 567-0350
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Professional Services LLC | Current | Accepting new patients | |
| JKL Restorative PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112
1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
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.
-
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
- NPI 1912777624
-
- Specialist
- West Orange, NJ
- NPI 1508804048
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1194758284
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Encompass Health Rehabilitation Hospital of East Valley
- Rehabilitation Hospital
- Mesa, AZ
- NPI 1205076528
Inpatient rehabilitation facility
-
- Home Health Agency
- Chandler, AZ
- NPI 1699440073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1245692706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 E CYPRESS ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852572815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5652 E BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852064713",
"telephone_number": "480-567-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOHN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2023-12-21",
"certification_date": "2023-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB11177300",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "010528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.