Individual provider Active NPI

Fernando Lopez, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1619974045
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K6109 Issued in TX
Practice address
359 E Hildebrand Ave Ste 100
San Antonio, TX 78212-2453
Phone
(210) 320-1166
Fax
(210) 320-1295
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K6109 TX Primary

Addresses

Primary practice location

359 E Hildebrand Ave Ste 100
San Antonio, TX 78212-2453

Mailing address

359 E Hildebrand Ave Ste 100
San Antonio, TX 78212-2453
Phone (210) 320-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6109TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heart Associates PA Cardiovascular Disease Current Accepting new patients

Locations

2833 Babcock Rd
Ste 200
San Antonio, TX 78229
Phone (210) 562-5700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1619974045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E HILDEBRAND AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122453",
            "telephone_number": "210-320-1166",
            "fax_number": "210-320-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E HILDEBRAND AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122453",
            "telephone_number": "210-320-1166",
            "fax_number": "210-320-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K6109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.