Active NPI
Luis J Lopez, MD
- Gastroenterology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME93505
- Practice address
- 4700 N Habana Ave
Suite 701
Tampa, FL 33614-7160 - Phone
- (813) 324-5888
- Fax
- (813) 374-8891
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME93505 | FL | Primary |
Addresses
Primary practice location
4700 N Habana Ave
Suite 701
Tampa, FL 33614-7160
Mailing address
4700 N Habana Ave
Suite 701
Tampa, FL 33614-7160
Phone (813) 324-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275993400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ponce School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4700 N Habana Ave
Suite 701
Tampa, FL 33614-7122
Phone (813) 324-5888
Hospital & facility affiliations
- Vna Plus
- St Josephs Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Israel Crespo MD PA | Current | Accepting new patients | |
| Luis J Lopez MD PA | Gastroenterology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients |
Locations
7171 N Dale Mabry Hwy
Ste 305
Tampa, FL 33614
Phone (813) 930-8816
4700 N Habana Ave
Ste 701
Tampa, FL 33614
Phone (727) 372-5547
3633 Little Rd
Ste 104
Trinity, FL 34655
Phone (727) 372-1130
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- llopez32069@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1538341789
-
- Specialist
- Tampa, FL
- NPI 1598934143
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- Home Health Agency
- Tampa, FL
- NPI 1770586257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1346342201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N HABANA AVE",
"address_2": "SUITE 701",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147160",
"telephone_number": "813-324-5888",
"fax_number": "813-374-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N HABANA AVE",
"address_2": "SUITE 701",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147160",
"telephone_number": "813-324-5888",
"fax_number": "813-374-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUIS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME93505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275993400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.