Individual provider Active NPI

Jennifer R Lopez Lopez, M.D.

  • Surgery Physician
  • Kissimmee, FL
National Provider Identifier
1699161133
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
146317 Issued in FL
Practice address
700 W Oak St
Kissimmee, FL 34741-4924
Phone
(407) 520-3947
NPI assigned
Apr 10, 2015
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Surgery Physician 208600000X 146317 FL Primary
Surgical Critical Care Physician 2086S0102X 146317 FL
Trauma Surgery Physician 2086S0127X 146317 FL

Addresses

Primary practice location

700 W Oak St
Kissimmee, FL 34741-4924

Mailing address

8133 Topsail PL
Winter Garden, FL 34787-4581
Phone (787) 718-0300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.lopezlopez@hcahealthcare.com

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
I20211027000569 FL Practitioner - General Surgery 7719375559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
San Juan Bautista School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

720 W Oak St
Suite 303
Kissimmee, FL 34741-4992
Phone (407) 343-8101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146317FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Trauma Services, LLC Surgery CurrentSince Oct 12, 2022 Accepting new patients
Osceola Surgical Associates LLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
Osceola Surgical Associates LLC Surgery Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

320 W Bass St
Ste 320
Kissimmee, FL 34741
Phone (407) 846-3166

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

720 W Oak St
Ste 303
Kissimmee, FL 34741
Phone (407) 343-8101

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jennifer.lopezlopez@hca4.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1699161133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 TOPSAIL PL",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874581",
            "telephone_number": "787-718-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "407-520-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ LOPEZ",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-12-06",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "146317",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "146317",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "146317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.lopezlopez@hcahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "HCA email",
            "address_1": "700 W Oak St",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.