Nicholas Michael Lopez, M.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Paducah, KY
NPI 1316037005 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1316037005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 42975 (KY)
- Practice address
- 2601 Kentucky Ave
Suite 300
Paducah, KY 42003-3817 - Phone
- (270) 443-5564
- Fax
- (270) 443-5549
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- University of Michigan Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 415-7653
2601 Kentucky Ave
Paducah, KY 42003-3826
2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800
Hospital & facility affiliations
- Baptist Health Paducah
- Marshall County Hospital
- Murray-Calloway County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 35 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050107000447 | KY | Practitioner - Thoracic Surgery | 8921056862 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Western Baptist Medical Ventures, Inc. | Past | Accepting new patients | |
| Baptist Healthcare System, Inc | Past | Accepting new patients |
Locations
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2601 Kentucky Ave
Ste 300
Paducah, KY 42003
Phone (270) 443-5564
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653
2603 Kentucky Ave
Ste 404
Paducah, KY 42003
Phone (270) 443-6472
Interoperability endpoints
- nlopez7758@bhkydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 42975 | KY | Yes |
Addresses
Primary practice location
2601 Kentucky Ave
Suite 300
Paducah, KY 42003-3817
Mailing address
2605 Kentucky Ave
Suite 306
Paducah, KY 42003-3800
Phone (270) 415-7653
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64113764 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nlopez7758@bhkydirect.com |
Other providers in Paducah, KY
- James H Long Jr.
- Kevin Long
- Scott Brian Long
- Hannah Michelle Looper
- Emily Dawn Lopez
- Jason R Lorch
- Heather Losser
- Lourdes Ambulatory Surgery Center LLC
- Lourdes Ambulatory Surgery Center, LLC
- Lourdes Hospital
All providers in Paducah, KY · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.