Active NPI
Cassandra Evelyn Lopez, MD
- Family Medicine Physician
- Lewistown, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MED-PHYS-LIC-78955
- Practice address
- 408 Wendell Ave
Lewistown, MT 59457-2261 - Phone
- (406) 535-1502
- NPI assigned
- May 6, 2015
- Sex
- Female
- Sole proprietor
- No
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 | MED-PHYS-LIC-78955 | MT | Primary |
Addresses
Primary practice location
408 Wendell Ave
Lewistown, MT 59457-2261
Mailing address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11925 S State St
Draper, UT 84020-7735
Phone (801) 783-5011
Hospital & facility affiliations
- Ogden Regional Medical Center
- Brigham City Community Hospital
- Ogden Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-78955 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santibanez Pac Utah | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
11925 S State St
Draper, UT 84020
Phone (801) 545-8000
5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601
1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500
451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
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.
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
- Geriatric Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1881469484
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
-
- Rehabilitation Hospital Unit
- Ogden, UT
- NPI 1023603214
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1669859971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572261",
"telephone_number": "406-535-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572261",
"telephone_number": "406-535-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CASSANDRA",
"middle_name": "EVELYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-78955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.