Individual provider Active NPI

Martha Lopez, M.D.

  • Diagnostic Radiology Physician
  • Cranston, RI
National Provider Identifier
1285815787
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD14295 Issued in RI
Practice address
65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone
(401) 886-4830
Fax
(888) 779-7670
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD14295 RI Primary

Addresses

Primary practice location

65 Sockanosset Cross Rd
Cranston, RI 02920-5536

Mailing address

85 Juniper Dr
East Greenwich, RI 02818-1353
Phone (617) 763-8644

Other identifiers 1

IdentifierTypeStateIssuer
ML93346MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161108000928 MA Practitioner - Diagnostic Radiology 4981848322 Reassigns benefits to 1 organization
I20161117002410 CT Practitioner - Diagnostic Radiology 4981848322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

113 Elm St
Suite 206
Enfield, CT 06082-3738
Phone (860) 741-2177

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14295RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging, Inc. Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Franklin MRI Center LLC CurrentSince Dec 1, 2016 Accepting new patients
Baystate MRI & Imaging Center, LLC CurrentSince Oct 1, 2016 Accepting new patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients

Locations

113 Elm St
Ste 206
Enfield, CT 06082
Phone (860) 741-2177

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

1350 Main St
Ste 1007
Springfield, MA 01103
Phone (413) 495-1129

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390608000000",
    "number": "1285815787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 JUNIPER DR",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181353",
            "telephone_number": "617-763-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205536",
            "telephone_number": "401-886-4830",
            "fax_number": "888-779-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARTHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2014-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD14295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ML93346",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.