Individual provider Active NPI

Rolando R Lopez, P.A.

  • Physician Assistant
  • Danbury, CT
National Provider Identifier
1558396408
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000975 Issued in CT
Practice address
24 Hospital Ave
Danbury, CT 06810
Phone
(203) 739-7000
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 975 CT
Physician Assistant 363A00000X 000975 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Danbury, CT 06810

Mailing address

39 Hospital Ave
Danbury, CT 06810-6027
Phone (203) 744-9700

Other practice location 1

888 White Plains Rd
Suite 106
Trumbull, CT 06611-4552
Phone (203) 268-2882

Other practice location 2

39 Hospital Ave
Danbury, CT 06810-6027
Phone (203) 744-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000139 CT Practitioner - Physician Assistant 8628224664 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261

6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000975CTMDAddiction (Substance Use Disorder) Counselor
975CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 4, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 11, 2021 Accepting new patients
Bridgeport Hospital CurrentSince Aug 22, 2016 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Northeast Medical Group, Inc CurrentSince Jun 9, 2019 Accepting new patients
Yale University Orthopaedic Surgery CurrentSince May 24, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 11, 2021 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jun 9, 2019 Accepting new patients
Yale University CurrentSince May 24, 2024 Accepting new patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients
Orthoconnecticut, PLLC Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

39 Hospital Ave
Danbury, CT 06810
Phone (203) 744-9700

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

760 River Rd
Shelton, CT 06484
Phone (203) 337-2600

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: rolando.lopez@xdr.hhchealthdirect.org
  • Direct secure messaging: rlopez9587@direct.ynhh.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1558396408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106027",
            "telephone_number": "203-744-9700",
            "fax_number": "203-744-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-739-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 White Plains Rd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114552",
            "country_code": "US",
            "telephone_number": "203-268-2882",
            "fax_number": "203-452-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106027",
            "country_code": "US",
            "telephone_number": "203-744-9700",
            "fax_number": "203-744-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROLANDO",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "975",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.