Jaxel Lopez Sepulveda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q5020 Issued in TX

Practice address

245 E Grauwyler Rd Ste 122
Irving, TX 75061-2639

Phone

(972) 887-3235

Fax

(972) 887-3197

NPI assigned

Sep 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University Central del Caribe Escuela de Medicina, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaxel.lopez-sepulveda.1@17023.direct.athenahealth.com

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.

• Lopez Sepulveda Primary Care PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1447795729
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1598072563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E GRAUWYLER RD STE 122",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612639",
            "telephone_number": "972-887-3235",
            "fax_number": "972-887-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E GRAUWYLER RD STE 122",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612639",
            "telephone_number": "972-887-3235",
            "fax_number": "972-887-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ SEPULVEDA",
        "first_name": "JAXEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Long, OTR/L
• John D Longenecker, D.C.
• Robert Jeffery Longenecker, DC
• Alma Lopez Montejo
• Lopez Sepulveda Primary Care PLLC
• Brenda Jasmin Lopez-Lopez
• Agnes M Lopez, LMT
• Arnaldo Antonio Lopez Jr., DC
• Brenda Sarai Lopez
• Carlos Lopez

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.