Individual provider Active NPI

Marvin J Lopez, M.D.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1730183195
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-080983 Issued in OH
Practice address
7661 Beechmont Ave Ste 120
Cincinnati, OH 45255-4234
Phone
(513) 231-9010
Fax
(513) 231-9706
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35-080983 OH Primary

Addresses

Primary practice location

7661 Beechmont Ave Ste 120
Cincinnati, OH 45255-4234

Mailing address

PO Box 632958
Cincinnati, OH 45263-2958
Phone (513) 451-9698

Other identifiers 2

IdentifierTypeStateIssuer
100017243OtherOHRAILROAD MEDICARE
2320447MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111116000860 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 6507750411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Cincinnati Digestive Health NetworkGroup PAC ID 9032003165, 14 clinicians

Practice addresses (Care Compare)

100 Arrow Springs Blvd
Suite 2000
Lebanon, OH 45036-7019
Phone (513) 721-5300

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 231-9010

7661 Beechmont Ave
Suite 120
Cincinnati, OH 45255-4216
Phone (513) 231-9010

Hospital & facility affiliations

  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy412
Upper gastrointestinal (GI) endoscopy for acid reflux249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-080983OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Digestive Health Network Gastroenterology CurrentSince Aug 1, 2002 Accepting new patients
Anderson Endoscopy Center LLC Past Accepting new patients

Locations

7661 Beechmont Ave
Ste 100
Cincinnati, OH 45255
Phone (513) 624-4150

6620 Clough Pike
Cincinnati, OH 45244
Phone (513) 221-2663

4805 Montgomery Rd
Ste 160
Cincinnati, OH 45212
Phone (513) 721-5300

7661 Beechmont Ave
Ste 120
Cincinnati, OH 45255
Phone (513) 231-9010

3648 Werk Rd
Cincinnati, OH 45248
Phone (513) 233-4100

100 Arrow Springs Blvd
#200
Lebanon, OH 45036
Phone (513) 231-9010

Interoperability endpoints

  • Direct secure messaging: marvinlopez@cgi.allscriptsdirect.net
  • FHIR API: https://79ae3049-556a-47bf-9486-6753203f5b3d.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

Hospital & facility affiliations 8

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1730183195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632958",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632958",
            "telephone_number": "513-451-9698",
            "fax_number": "513-451-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7661 BEECHMONT AVE STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554234",
            "telephone_number": "513-231-9010",
            "fax_number": "513-231-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARVIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-080983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100017243",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2320447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.