Individual provider Active NPI

Pedro Jose Lopez, MD

  • Pediatric Urology Physician
  • Cleveland, OH
National Provider Identifier
1275398018
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
APP00767228 Issued in OH
Practice address
2101 Adelbert Rd
Cleveland, OH 44106-2624
Phone
(216) 884-8840
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X APP00767228 OH Primary

Addresses

Primary practice location

2101 Adelbert Rd
Cleveland, OH 44106-2624

Mailing address

15801 Parkland Dr
Cleveland, OH 44120-2531
Phone (216) 884-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514003078 OH Practitioner - Urology 2062853674 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APP00767228OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jan 5, 2025 Accepting new patients
The Metrohealth System CurrentSince Jan 5, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Mar 23, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
Multicare Health System Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

2101 Adelbert Rd
Cleveland, OH 44106
Phone (216) 844-3911

11100 Euclid Ave
Ste 170
Cleveland, OH 44106

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: plopez517626@ehrdirect.uhhospitals.org
  • Direct secure messaging: plopez278525@direct.metrohealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1275398018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 PARKLAND DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202531",
            "telephone_number": "216-884-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ADELBERT RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062624",
            "telephone_number": "216-884-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PEDRO JOSE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "APP00767228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.