Individual provider Active NPI

Jorge Omar Flores Lopez, M.D.

  • Internal Medicine Physician
  • Williamsville, NY
National Provider Identifier
1437507654
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58176 Issued in AZ
Practice address
705 Maple Rd
Williamsville, NY 14221-3291
Phone
(716) 580-7355
Fax
(716) 580-7300
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58176 AZ Primary

Addresses

Primary practice location

705 Maple Rd
Williamsville, NY 14221-3291

Mailing address

705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 580-7355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191004002785 AZ Practitioner - Internal Medicine 8325379332 Reassigns benefits to 3 organizations
I20260428002830 TX Practitioner - Internal Medicine 8325379332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 368
Kayenta, AZ 86033

PO Box
Suite 368
Kayenta, AZ 86033-0368

Hospital & facility affiliations

  • Zion'S Way Home Health Home health agency, Page, AZ, CCN 037290
  • Kayenta Alternative Rural Hospital Hospital, Kayenta, AZ, CCN 030195
  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58176AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Family Medicine Current Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 1, 2020 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Dec 20, 2021 Accepting new patients
Archwell Health Professional Services of Arizona, LLC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Mariposa Community Health Center, Inc Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Dec 20, 2021 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

6611 W Peoria Ave
Glendale, AZ 85302
Phone (602) 325-5580

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

1852 N Mastick Way
Nogales, AZ 85621

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

2940 S 6th Ave
Tucson, AZ 85713
Phone (520) 613-1001

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.

Hospital & facility affiliations 2

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1437507654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213291",
            "telephone_number": "716-580-7355",
            "fax_number": "716-580-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213291",
            "telephone_number": "716-580-7355",
            "fax_number": "716-580-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES LOPEZ",
        "first_name": "JORGE",
        "middle_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "58176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.