Individual provider Active NPI

Persio David Lopez Loyo, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1629454467
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
294648 Issued in NY
Practice address
385 Fort Washington Ave
New York, NY 10033-6740
Phone
(212) 319-3977
Fax
(212) 721-0806
NPI assigned
Aug 4, 2015
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 294648 NY
Cardiovascular Disease Physician 207RC0000X 294648 NY
Interventional Cardiology Physician 207RI0011X 294648 NY Primary
Hospitalist Physician 208M00000X 294648 NY

Addresses

Primary practice location

385 Fort Washington Ave
New York, NY 10033-6740

Mailing address

1041 3Rd Ave Ste 201
New York, NY 10065-8114
Phone (212) 319-3977

Other practice location 1

1041 3rd Ave Ste 201
New York, NY 10065-8114
Phone (212) 319-3977

Other practice location 2

3620 E Tremont Ave Ste 103
Bronx, NY 10465-2038
Phone (212) 319-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190125001379 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668719840 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Medical of Ny PCGroup PAC ID 2062712367, 5 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1041 3Rd Ave
Suite 200
New York, NY 10065-8114
Phone (212) 319-3977

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294648NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Ambulatory Surgery Center, LLC CurrentSince Jul 13, 2025 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Omni Medical of Ny, PC Cardiovascular Disease CurrentSince Jun 1, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Dec 4, 2018 Accepting new patients
Empire State Interventional and Endovascular Medicine PC PastSince Apr 1, 2024 Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

3620 E Tremont Ave
Ste 103
Bronx, NY 10465
Phone (718) 409-0400

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

1041 3rd Ave
Ste 200
New York, NY 10065
Phone (212) 362-3470

1041 3rd Ave
Ste 201
New York, NY 10065
Phone (212) 535-3222

110 E 60th St
Ste 404
New York, NY 10022

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

115 E 57th St
Ste 1240
New York, NY 10022

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: plopez1278504@nychhc.direct-ci.com
  • Direct secure messaging: plopezloyo199359@direct-guthrie.org
  • Direct secure messaging: plopezloyo576140@nyumc.direct-ci.com
  • Direct secure messaging: plopezloyo64519@northwell.direct-ci.com
  • Direct secure messaging: thn9034@direct.nyp.org

Organizations & group practices 7

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 8

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1629454467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 3RD AVE STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658114",
            "telephone_number": "212-319-3977",
            "fax_number": "212-721-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336740",
            "telephone_number": "212-319-3977",
            "fax_number": "212-721-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 3rd Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100658114",
            "country_code": "US",
            "telephone_number": "212-319-3977",
            "fax_number": "212-721-0806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 E Tremont Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104652038",
            "country_code": "US",
            "telephone_number": "212-319-3977",
            "fax_number": "212-721-0806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ LOYO",
        "first_name": "PERSIO",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294648",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "294648",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "294648",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "294648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.