Active NPI
Manuel D Lopez MD PA
- Nephrology Physician
- El Paso, TX
National Provider Identifier
1316120116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MANUEL D LOPEZ MD PA
- Practice address
- 10201 Gateway Blvd W
Ste 210
El Paso, TX 79925-7652 - Phone
- (915) 591-2922
- NPI assigned
- Dec 14, 2007
- Last updated
- Jan 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel D Lopez-Leyva, MD
- Title
- Owner/Physician
- Phone
- (915) 591-2922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
10201 Gateway Blvd W
Ste 210
El Paso, TX 79925-7652
Mailing address
10201 Gateway Blvd W
Ste 210
El Paso, TX 79925-7652
Phone (915) 591-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10201 Gateway Blvd W
Ste 210
El Paso, TX 79925
Phone (915) 591-2922
Interoperability endpoints
- https://api.platform.athenahealth.com/10488/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- El Paso, TX
- NPI 1942265533
-
- Specialist
- El Paso, TX
- NPI 1821174897
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1366177263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233100800000",
"number": "1316120116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 GATEWAY BLVD W",
"address_2": "STE 210",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257652",
"telephone_number": "915-591-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 GATEWAY BLVD W",
"address_2": "STE 210",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257652",
"telephone_number": "915-591-2922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUEL D LOPEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2009-01-28",
"status": "A",
"authorized_official_last_name": "LOPEZ-LEYVA",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "915-591-2922",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.