Active NPI
Karim Habib Lopez, M.D
- Family Medicine Physician
- Cleveland, OH
National Provider Identifier
1659374841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35066514L
- Practice address
- 4229 Pearl Rd
2ND Floor
Cleveland, OH 44109-4218 - Phone
- (216) 957-3526
- Fax
- (216) 957-2930
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35066514L | OH | Primary |
Addresses
Primary practice location
4229 Pearl Rd
2ND Floor
Cleveland, OH 44109-4218
Mailing address
4229 Pearl Road
2ND Floor
Cleveland, OH 44109
Phone (216) 957-3526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0979777 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066514L | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marymount Primary Care Services, Inc. | Family Medicine | Past | Accepting new patients |
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| Marymount Primary Care Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
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-
- Family Medicine Physician
- Broadview Heights, OH
- NPI 1063606440
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227571200000",
"number": "1659374841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 PEARL ROAD",
"address_2": "2ND FLOOR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44109",
"telephone_number": "216-957-3526",
"fax_number": "216-957-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 PEARL RD",
"address_2": "2ND FLOOR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441094218",
"telephone_number": "216-957-3526",
"fax_number": "216-957-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "KARIM",
"middle_name": "HABIB",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35066514L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0979777",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.