Active NPI
Enrique Lopez Guimera, MD
- Internal Medicine Physician
- Manitowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 84621-20
- Practice address
- Froedtert Holy Family Memorial Hospital
2300 Western Ave
Manitowoc, WI 54220-3712 - Phone
- (920) 320-2012
- NPI assigned
- May 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME169424 | FL | |
| Internal Medicine Physician | 207R00000X | 84621-20 | WI | Primary |
Addresses
Primary practice location
Froedtert Holy Family Memorial Hospital
2300 Western Ave
Manitowoc, WI 54220-3712
Mailing address
2300 Western Ave
Manitowoc, WI 54220-3712
Phone (305) 284-7761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436
2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84621-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert Manitowoc Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Nova Hospitalist Group LLC | Internal Medicine | Current | Accepting new patients |
| Nova Medical Services LLC | Internal Medicine | Current | Accepting new patients |
Locations
8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
Interoperability endpoints
- elopezguimera835907@direct.froedtert.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
Internal Medicine
-
- Internal Medicine Physician
- Miami, FL
- NPI 1174270904
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
-
- Community Based Hospice Care Agency
- Sheboygan Falls, WI
- NPI 1598855207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1750027702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WESTERN AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203712",
"telephone_number": "305-284-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL",
"address_2": "2300 WESTERN AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203712",
"telephone_number": "920-320-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ GUIMERA",
"first_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME169424",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "84621-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.