Individual provider Active NPI

Javier Lopez de Arco, MD

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1295729986
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 95848 Issued in FL
Practice address
3074 Dyer Blvd
Kissimmee, FL 34741
Phone
(407) 635-3011
Fax
(321) 203-4627
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME95848 FL
Internal Medicine Physician 207R00000X ME 95848 FL Primary
Internal Medicine Physician 207R00000X A76864 CA
Internal Medicine Physician 207R00000X 14082 PR

Addresses

Primary practice location

3074 Dyer Blvd
Kissimmee, FL 34741

Mailing address

3074 Dyer Blvd
Kissimmee, FL 34741-7839
Phone (407) 635-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080508000825 FL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 4880685106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76864CAMDInternal Medicine Physician
ME 95848FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
My Endocrinologist PA Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2016 Accepting new patients
Orlando Physicians Network Inc Internal Medicine CurrentSince Apr 27, 2020 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Bakersfield Family Medical Group Inc Internal Medicine Past Accepting new patients
Orlando Health Medical Group Inc Internal Medicine Past Accepting new patients
Conviva Medical Center Management LLC Internal Medicine Past Accepting new patients

Locations

3074 Dyer Blvd
Kissimmee, FL 34741
Phone (407) 389-5443

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

213 S Dillard St
Ste 240
Winter Garden, FL 34787
Phone (407) 409-8067

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jlopezdearco25934@orlandohealth.medalliesdirect.net

Organizations & group practices 7

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 1

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1295729986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 DYER BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417839",
            "telephone_number": "407-635-3011",
            "fax_number": "321-203-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 DYER BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-635-3011",
            "fax_number": "321-203-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE ARCO",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME95848",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 95848",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76864",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.