Juanita C Villasis-Lopez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00004405 Issued in AL

Practice address

13833 Tapia Ave
Bayou la Batre, AL 36509-2515

Phone

(251) 824-4985

Fax

(251) 824-4990

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Juanita C Lopez Other name

Medicare fee-for-service enrollment

Enrolled in AL

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

Internal Medicine

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Adult Care LLCGroup PAC ID 4880611326, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01A0
• bcbs alabama network 01H0
• bcbs alabama network 01G0
• bcbs alabama network 01B0
• bcbs alabama network 01C0
• bcbs alabama network 01E0

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.

• Mobile Adult Care LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1588764658
  Medicare reassignment Care Compare group
• Baptist Physician Associates LLC

  • Urgent Care Clinic/Center
  • Navarre, FL
  • NPI 1235128646
  Medicare reassignment NPD
• Northern Mobile Medical Diagnostics

  • General Practice Physician
  • Saraland, AL
  • NPI 1043485196
  NPD (past)
• State of Alabama Dept of Finace

  • Psychiatric Hospital
  • Tuscaloosa, AL
  • NPI 1437295409
  NPD (past)
• State of Alabama Dept of Finance

  • Psychiatric Hospital
  • Mt Vernon, AL
  • NPI 1427066307
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Springhill Hospitals, Inc

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1427157254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-4985",
            "fax_number": "251-824-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-4985",
            "fax_number": "251-824-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLASIS-LOPEZ",
        "first_name": "JUANITA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00004405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "LOPEZ",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• RX Express Pharmacy of Bayou la Batre, Inc.
• Staci L. Shipman, PHARMD
• Joseph Hunter Steiner
• Meghan Elizabeth Stinnette Elmore
• Carrie F. Tombrello, DMD
• Earnestine Williams
• Rhonda K Wright, LPC

• Internal Medicine Physician in Bayou la Batre, AL
• Providers in Bayou la Batre, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.