Active NPI
Luis J Lopez MD PA
- Gastroenterology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- LUIS J LOPEZ MD PA
- Practice address
- 4700 N. Habana Ave
Suite 701
Tampa, FL 33614-7122 - Phone
- (813) 324-5888
- Fax
- (813) 374-8891
- NPI assigned
- Nov 29, 2007
- Last updated
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luis J Lopez, MD
- Title
- Physician
- Phone
- (813) 792-9752
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
4700 N. Habana Ave
Suite 701
Tampa, FL 33614-7122
Mailing address
4700 N Habana Ave Ste 701
Tampa, FL 33614-7122
Phone (813) 324-5888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275993400 | Medicaid | FL | |
| ME93505 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2055349 | Luis J Lopez MD PA | Certificate of waiver | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
4809 N Armenia Ave
Ste 100
Tampa, FL 33603
Phone (813) 872-9310
7001 N Dale Mabry Hwy
Ste 10
Tampa, FL 33614
Phone (813) 497-9661
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1346342201
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1942302880
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1023127909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1538341789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N HABANA AVE STE 701",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147122",
"telephone_number": "813-324-5888",
"fax_number": "813-374-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N. HABANA AVE",
"address_2": "SUITE 701",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147122",
"telephone_number": "813-324-5888",
"fax_number": "813-374-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS J LOPEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-792-9752",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275993400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME93505",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.