Active NPI
Peter P Lopez, MD
- Surgery Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301056111
- Practice address
- 43331 Commons Dr
Clinton Township, MI 48038-1109 - Phone
- (586) 263-5410
- Fax
- (586) 263-7131
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 41107 | TX | |
| Surgery Physician | 208600000X | 4301056111 | MI | Primary |
Addresses
Primary practice location
43331 Commons Dr
Clinton Township, MI 48038-1109
Mailing address
880 N Cranbrook Rd
Bloomfield Hills, MI 48301-2617
Phone (305) 608-5977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177143801 | Medicaid | TX | |
| 1316031339 | Other | MI | GROUP NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | plopez60611@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- General Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
Hospital & facility affiliations
- Henry Ford Macomb Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41107 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Northwest Surgical Associates PC | Surgery | Current | Accepting new patients |
| Henry Ford Health System | Surgery | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Critical Care Surgeons PLLC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Surgery | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients |
Locations
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
16151 19 Mile Rd
Ste 300
Clinton Twp, MI 48038
Phone (586) 228-1760
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
27209 Lahser Rd
Ste 128
Southfield, MI 48034
Phone (248) 353-0200
Interoperability endpoints
- plopez60611@direct.hfhs.org
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1710213731
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Surgery Physician
- Southfield, MI
- NPI 1710040068
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1730415753
-
- Surgery Physician
- Detroit, MI
- NPI 1508942525
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Obstetrics & Gynecology Physician
- Clinton Township, MI
- NPI 1861539892
Surgery
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1497862478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 N CRANBROOK RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483012617",
"telephone_number": "305-608-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43331 COMMONS DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381109",
"telephone_number": "586-263-5410",
"fax_number": "586-263-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "PETER",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "41107",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301056111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177143801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1316031339",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "plopez60611@direct.hfhs.org",
"affiliation": "N",
"address_1": "43331 Commons Dr",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480381109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.