Individual provider Active NPI

Alejandro Tungate Lopez, PA-C

  • Physician Assistant
  • Chapel Hill, NC
National Provider Identifier
1275158206
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10629 Issued in NC
Practice address
University of North Carolina Plastic Surgery
7034 Burnett-Womack Building CB #7195
Chapel Hill, NC 27599-7195
Phone
(919) 966-4446
NPI assigned
Jun 16, 2020
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10629 NC Primary

Addresses

Primary practice location

University of North Carolina Plastic Surgery
7034 Burnett-Womack Building CB #7195
Chapel Hill, NC 27599-7195

Mailing address

University of North Carolina Plastic Surgery
7034 Burnett-Womack Building CB #7195
Chapel Hill, NC 27599-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20201005001351 NC Practitioner - Physician Assistant 5496174880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

55 Vilcom Ctr Dr
Chapel Hill, NC 27514-1690

6715 McCrimmon Pkwy
Cary, NC 27519-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-10629NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Nov 9, 2020 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Nov 9, 2020 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jun 10, 2024 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

Interoperability endpoints

  • Direct secure messaging: aramirezlopez888698@direct.unc.nchie.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1275158206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA PLASTIC SURGERY",
            "address_2": "7034 BURNETT-WOMACK BUILDING CB #7195",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA PLASTIC SURGERY",
            "address_2": "7034 BURNETT-WOMACK BUILDING CB #7195",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997195",
            "telephone_number": "919-966-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGATE LOPEZ",
        "first_name": "ALEJANDRO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.