Active NPI
Buddy P Lopez, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Evansville, IN
National Provider Identifier
1255438990
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 34381
- Practice address
- 7145 E Virginia St
Suite 2000
Evansville, IN 47715-9124 - Phone
- (812) 476-6161
- Fax
- (812) 476-7117
- NPI assigned
- Sep 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 34381 | KY | Primary |
Addresses
Primary practice location
7145 E Virginia St
Suite 2000
Evansville, IN 47715-9124
Mailing address
7145 E Virginia St
Suite 2000
Evansville, IN 47715-9124
Phone (812) 476-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01602902A | Other | IN | IPLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34381 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1255438990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST",
"address_2": "SUITE 2000",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159124",
"telephone_number": "812-476-6161",
"fax_number": "812-476-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST",
"address_2": "SUITE 2000",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159124",
"telephone_number": "812-476-6161",
"fax_number": "812-476-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BUDDY",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "34381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IPLA",
"identifier": "01602902A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.