Edrick Eugenio Lopez, M.D., J.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P9087 Issued in TX

Practice address

8810 Lebanon Rd
Frisco, TX 75034-8688

Phone

(469) 294-0083

Fax

(469) 294-0084

NPI assigned

Aug 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

University of Puerto Rico School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidabuenamed PLLCGroup PAC ID 8224491766, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCEBDD/Endpoint/DCEBDD
• Direct secure messaging: edrick.lopez@ppoa.directbygreenway.com

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.

• Vidabuenamed, PLLC

  dba DFW Interventional Pain Institute

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
  • NPI 1356034755
  Medicare reassignment Care Compare group NPD Authorized official
• Clinical Neuropsychology of Texas, PLLC

  • Clinical Neuropsychologist
  • San Antonio, TX
  • NPI 1902282759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1346556784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 LEBANON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348688",
            "telephone_number": "469-294-0083",
            "fax_number": "469-294-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Cottonwood Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386117",
            "country_code": "US",
            "telephone_number": "469-648-3832",
            "fax_number": "469-648-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDRICK",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "P9087",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P9087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Long, LMSW
• Longe Home Health LLC
• Look Vision Care LLC
• Amanda Lopez
• Andrea Amy Lopez, RD, LD
• Saharnaz Loseu, PHD, LPC-SUPERVISOR
• Bradley J Lott, M.D.
• Lotus Eyecare PLLC
• Flint Lee Loughridge Jr., DC
• Flint Lee Loughridge, D.C.

• Physical Medicine & Rehabilitation Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.

Verify at the official NPI Registry.