Alejandro Emilio Lopez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48376 Issued in AZ

Practice address

1514 W Thomas Rd
Phoenix, AZ 85015-6101

Phone

(602) 283-5732

Fax

(602) 314-4579

NPI assigned

Jul 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Family Medicine LLCGroup PAC ID 5092007427, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

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.

• American Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1477908085
  Medicare reassignment Care Compare group NPD Authorized official
• American Family Medicine LLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1164287124
  NPD Authorized official
• American Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1184489148
  NPD (past) Authorized official
• American Family Medicine LLC

  • Family Medicine Physician
  • Tolleson, AZ
  • NPI 1770348724
  NPD (past) Authorized official
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1699021337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156101",
            "telephone_number": "602-283-5732",
            "fax_number": "602-314-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156101",
            "telephone_number": "602-283-5732",
            "fax_number": "602-314-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEJANDRO",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "48376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870709",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lopez Wellness & Performance LLC
• Lopez Wellness & Performance LLC
• Adriana M Lopez-Piper
• Abraham Dagoberto Lopez Jr., PA
• Alejandro Lopez
• Alma L Lopez, LPN
• Andrew Lopez
• Andrew Lopez, ATS
• Angelica Raye Lopez, DNP, AGACNP-BC
• Annaa Laua Lopez

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.

Verify at the official NPI Registry.