Individual provider Active NPI

Michael Rafael Lopez-Molina, M.D

  • Pulmonary Disease Physician
  • Clearwater, FL
National Provider Identifier
1336482843
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME127731 Issued in FL
Practice address
430 Morton Plant St Ste 405
Clearwater, FL 33756-3394
Phone
(727) 443-0611
Fax
(727) 461-5493
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME127731 FL
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X ME127731 FL Primary

Addresses

Primary practice location

430 Morton Plant St Ste 405
Clearwater, FL 33756-3394

Mailing address

430 Morton Plant St Ste 405
Clearwater, FL 33756-3394
Phone (727) 443-0611

Other practice location 1

12901 Bruce B. Downs Blvd, MDC 41
Tampa, FL 33612
Phone (813) 844-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170522001805 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7810264967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Bay Area Chest Physicians P aGroup PAC ID 0941299010, 15 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

430 Morton Plant St
Suite 405
Clearwater, FL 33756-3394
Phone (727) 443-0611

807 N Myrtle Ave
Clearwater, FL 33755-4254
Phone (727) 467-2400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jan 23, 2017 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Jul 22, 2019 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jul 22, 2019 Accepting new patients
KND Development 59 LLC CurrentSince Jan 23, 2017 Accepting new patients
Bay Area Chest Physicians P a Internal Medicine CurrentSince May 7, 2019 Accepting new patients

Locations

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

430 Morton Plant St
Ste 405
Clearwater, FL 33756
Phone (727) 443-0611

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEFFBA
  • Direct secure messaging: michael.lopezmolina@bacp.eclinicaldirectplus.com

Organizations & group practices 6

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 3

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1336482843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST STE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563394",
            "telephone_number": "727-443-0611",
            "fax_number": "727-461-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST STE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563394",
            "telephone_number": "727-443-0611",
            "fax_number": "727-461-5493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12901 Bruce B. Downs Blvd, MDC 41",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33612",
            "country_code": "US",
            "telephone_number": "813-844-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-MOLINA",
        "first_name": "MICHAEL",
        "middle_name": "RAFAEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127731",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME127731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.