Individual provider Active NPI

Esteban R Lopez, M.D.

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1356313126
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
L1114 Issued in TX
Practice address
7108 Bandera Rd
San Antonio, TX 78238-1203
Phone
(210) 680-2400
Fax
(830) 310-8156
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X L1114 TX Primary

Addresses

Primary practice location

7108 Bandera Rd
San Antonio, TX 78238-1203

Mailing address

7108 Bandera Rd
San Antonio, TX 78238-1203

Other practice location 1

520 Madison Oak
North Central Baptist Children's Emergency Department
San Antonio, TX 78258-3913
Phone (210) 566-5555 ext. 215

Other identifiers 2

IdentifierTypeStateIssuer
1S4520OtherTXMEDICARE
159539917MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040810001398 TX Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 3072585900 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1114TXMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Emergency Physicians, PLLC Current Accepting new patients
Edinburg Emergency Medicine Associates PA Pediatric Emergency Medicine CurrentSince Jan 21, 2011 Accepting new patients
Hopscotch Health Childrens Primary Care PLLC CurrentSince Dec 29, 2023 Accepting new patients
Hopscotch Health Children'S Urgent Care, PLLC Pediatric Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients
Emergency Pediatric Physician MGMT LLC Pediatric Emergency Medicine Past Accepting new patients
Community Medicine Associates PastSince Aug 1, 2006 Accepting new patients
Harlingen Emergency Medical Associates, PA Past Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

7108 Bandera Rd
San Antonio, TX 78238
Phone (210) 432-2905

813 Bandera Rd
Ste B
San Antonio, TX 78228
Phone (210) 432-2905

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1356313126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381203",
            "telephone_number": "210-680-2400",
            "fax_number": "830-310-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Madison Oak",
            "address_2": "North Central Baptist Children's Emergency Department",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583913",
            "country_code": "US",
            "telephone_number": "210-566-5555 x215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ESTEBAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "L1114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1S4520",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159539917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.