Individual provider Active NPI

Jeremiah Lopez, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, MI
National Provider Identifier
1306134085
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
4301099387 Issued in MI
Practice address
530 Beech St
Charlotte, MI 48813-1016
Phone
(517) 543-2940
Fax
(517) 541-0670
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4301099387 MI Primary
Family Medicine Physician 207Q00000X 4301099387 MI

Addresses

Primary practice location

530 Beech St
Charlotte, MI 48813-1016

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015

Other practice location 1

3860 Dobie Rd
Okemos, MI 48864-3704
Phone (517) 381-6100

Other practice location 2

2700 Burcham Dr
East Lansing, MI 48823-3898
Phone (517) 351-8377

Other identifiers 1

IdentifierTypeStateIssuer
1306134085MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140707000693 MI Practitioner - Geriatric MedicinePractitioner - Family Practice 6204051246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

3101 Discovery Dr
Suite 400
Lansing, MI 48910-8546
Phone (517) 975-3750

804 Service Rd
East Lansing, MI 48824-7015
Phone (517) 353-2562

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • Eaton County Medical Care Facility Nursing home, Charlotte, MI, CCN 235027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Michigan State University CurrentSince Oct 17, 2016 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Family Medicine Current Accepting new patients
Michigan State University Family Medicine CurrentSince Oct 17, 2016 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Msu Health Care Inc. Past Accepting new patients
Eaton County Health and Rehabilitation Services Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Msu Health Care Inc Family Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A225
East Lansing, MI 48824
Phone (517) 353-2562

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3101 Discovery Dr
Ste 400
Lansing, MI 48910
Phone (517) 975-3750

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

3860 Dobie Rd
Okemos, MI 48864
Phone (517) 349-1050

Organizations & group practices 12

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1306134085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BEECH ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131016",
            "telephone_number": "517-543-2940",
            "fax_number": "517-541-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Dobie Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643704",
            "country_code": "US",
            "telephone_number": "517-381-6100",
            "fax_number": "517-381-6201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Burcham Dr",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488233898",
            "country_code": "US",
            "telephone_number": "517-351-8377",
            "fax_number": "517-351-1738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEREMIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301099387",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306134085",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.