Individual provider Active NPI

Diego Jose Lopes de Lima, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jupiter, FL
National Provider Identifier
1508354861
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME146444 Issued in FL
Practice address
875 Military TRL Ste 105
Jupiter, FL 33458-5700
Phone
(561) 798-6600
Fax
(561) 753-3328
NPI assigned
Apr 23, 2018
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME146444 FL Primary

Addresses

Primary practice location

875 Military TRL Ste 105
Jupiter, FL 33458-5700

Mailing address

10131 Forest Hill Blvd Ste 230
Wellington, FL 33414-6109
Phone (561) 798-6600

Other practice location 1

440 N State Road 7 Ste 103
Royal Palm Beach, FL 33411-3504
Phone (561) 798-6600

Other practice location 2

582 NW University Blvd Ste 100
Port St Lucie, FL 34986-2264
Phone (561) 798-6600

Other identifiers 1

IdentifierTypeStateIssuer
107422800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200820000718 FL Practitioner - Orthopedic Surgery 8820343916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

4560 Lantana Rd
Suite 100
Lake Worth, FL 33463-6998
Phone (561) 627-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME146444FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Orthopaedics, PA Sports Medicine Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA Sports Medicine CurrentSince May 4, 2024 Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA Sports Medicine CurrentSince May 4, 2024 Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients

Locations

4560 Lantana Rd
Ste 100
Lake Worth, FL 33463
Phone (561) 797-3422

900 Village Square Xing
Ste 170
Palm Beach Gardens, FL 33410

1050 SE Monterey Rd
Ste 400
Stuart, FL 34994

Interoperability endpoints

  • Direct secure messaging: dlima650195@direct.ccf.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1508354861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 230",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 N State Road 7 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334113504",
            "country_code": "US",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "582 NW University Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349862264",
            "country_code": "US",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPES DE LIMA",
        "first_name": "DIEGO JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME146444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107422800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.