Individual provider Active NPI

Rosalind Lopez, M.D.

  • Pediatrics Physician
  • Sherman, TX
National Provider Identifier
1700128188
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q8290 Issued in TX
Practice address
300 N Highland Ave Ste 542
Sherman, TX 75092-7390
Phone
(903) 553-4353
NPI assigned
Mar 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q8290 TX Primary

Addresses

Primary practice location

300 N Highland Ave Ste 542
Sherman, TX 75092-7390

Mailing address

300 N Highland Ave Ste 542
Sherman, TX 75092-7390
Phone (903) 553-4353

Other identifiers 1

IdentifierTypeStateIssuer
359454106MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190709001398 TX Practitioner - Pediatric Medicine 2466787759 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8290TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Pediatrics CurrentSince Aug 12, 2019 Accepting new patients
Noah'S Ark Pediatric Clinic, PLLC Pediatrics CurrentSince Jan 7, 2024 Accepting new patients
Texomacare CurrentSince Aug 12, 2019 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

300 N Highland Ave
Ste 542
Sherman, TX 75092
Phone (903) 553-4353

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FACDDD/Endpoint/FACDDD
  • Direct secure messaging: rosalind.lopez@noah.eclinicaldirectplus.com

Organizations & group practices 4

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1700128188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 542",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927390",
            "telephone_number": "903-553-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 542",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927390",
            "telephone_number": "903-553-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROSALIND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q8290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359454106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.