Individual provider Active NPI

Carlos Manuel Lopez, M.D

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1669404893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME55323 Issued in FL
Practice address
1133 SE 18TH PL
Suite #2
Ocala, FL 34471-5410
Phone
(352) 861-5765
Fax
(352) 867-1801
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME55323 FL Primary

Addresses

Primary practice location

1133 SE 18TH PL
Suite #2
Ocala, FL 34471-5410

Mailing address

1133 SE 18TH PL
Suite #2
Ocala, FL 34471-5410
Phone (352) 861-5765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060714000265 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0941213938 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Health Providers,Apn.House Calls,LLC. CurrentSince Nov 1, 2017 Accepting new patients
Winter Park Internal Medicine MD PA Internal Medicine PastSince Oct 1, 2000 Accepting new patients

Locations

6262 SE 121st Pl
Belleview, FL 34420
Phone (352) 415-2510

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71213

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669404893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL",
            "address_2": "SUITE #2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715410",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL",
            "address_2": "SUITE #2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715410",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.