Active NPI
Virgilio Ignacio Lopez, M.D.
- Anesthesiology Physician
- Dededo, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M-1774
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 9341 | NV | |
| Anesthesiology Physician | 207L00000X | M-1774 | GU | Primary |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
PO Box 11258
Tamuning, GU 96931-1258
Phone (671) 688-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120521000476 | NV | Practitioner - Anesthesiology | 9931362456 | Reassigns benefits to 4 organizations |
| I20130805000448 | GU | Practitioner - Anesthesiology | 9931362456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Office Anesthesia Consultants LLC
Practice addresses (Care Compare)
6402 McLeod Dr
Suite 2
Las Vegas, NV 89120-4406
Phone (702) 487-5823
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.7 of 100
- Quality
- 82.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9341 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Office Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Anesthesiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Valley Anesthesiology Consultants-Beckett-PLLC | Anesthesiology | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Henderson Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Guam Memorial Hospital | Past | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
10120 S Eastern Ave
#230
Henderson, NV 89052
1110 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 564-1344
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660
6402 McLeod Dr
Ste 2
Las Vegas, NV 89120
Phone (702) 325-1711
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1306371166
Anesthesiology, NV
-
- Anesthesiology Physician
- Henderson, NV
- NPI 1437326857
Anesthesiology, NV
-
- Radiation Oncology Physician
- Las Vegas, NV
- NPI 1225609464
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1255438347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11258",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969311258",
"telephone_number": "671-688-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ROUTE 3",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969296911",
"telephone_number": "671-645-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "VIRGILIO",
"middle_name": "IGNACIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "9341",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GU",
"license": "M-1774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.