Active NPI
Javier Lopez de Arco, MD
- Internal Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 95848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600
Hospital & facility affiliations
- Orlando Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76864 | CA | MD | Internal Medicine Physician |
| ME 95848 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| My Endocrinologist PA | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Orlando Physicians Network Inc | Internal Medicine | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
-
- Endocrinology, Diabetes & Metabolism Physician
- Winter Garden, FL
- NPI 1497059737
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1013912641
Internal Medicine
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.