Individual provider Active NPI

Rodrigo A Lopez

  • Certified Registered Nurse Anesthetist
  • Bogalusa, LA
National Provider Identifier
1316118474
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN095695 Issued in LA
Practice address
433 Plaza St
Bogalusa, LA 70427-3729
Phone
(985) 730-6700
Fax
(985) 730-6713
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN095695 LA Primary

Addresses

Primary practice location

433 Plaza St
Bogalusa, LA 70427-3729

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other practice location 1

3510 N Causeway Blvd
404
Metairie, LA 70002-3531
Phone (504) 779-5515

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rlopez64289@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000351 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597836650 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Anesthesia Care STPH LLCGroup PAC ID 0749255909, 65 clinicians
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4583

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN095695LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aec Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2010 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Sep 11, 2019 Accepting new patients
Lallie Kemp Medical Ctr Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2019 Accepting new patients
Riverside Medical Center Current Accepting new patients
Wash-St Tammany Reg Medical Center Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Jun 1, 2023 Accepting new patients
Our Lady of the Angels Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2014 Accepting new patients
Total Anesthesia Care STPH, LLC CurrentSince Nov 8, 2021 Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

120 Innwood Dr
Covington, LA 70433

809 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4208

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

3717 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 885-7676

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

Interoperability endpoints

  • Direct secure messaging: rlopez64289@direct.casso.us.com

Organizations & group practices 8

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 5

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1316118474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6700",
            "fax_number": "985-730-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 N Causeway Blvd",
            "address_2": "404",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700023531",
            "country_code": "US",
            "telephone_number": "504-779-5515",
            "fax_number": "504-779-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RODRIGO",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN095695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlopez64289@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rlopez64289@direct.casso.us.com",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.