Organization Active NPI

Manuel D Lopez MD PA

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1316120116
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20080519000109 TX Part B Supplier - Clinic/Group Practice 0941386601 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

10201 Gateway Blvd W
Ste 210
El Paso, TX 79925
Phone (915) 591-2922

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.