Individual provider Active NPI

Mercedes Gadea Lopez, M.D.

  • Pediatrics Physician
  • Lake Worth, FL
National Provider Identifier
1750693867
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME115382 Issued in FL
Practice address
421 S Dixie Hwy
Lake Worth, FL 33460-4442
Phone
(561) 275-1155
Fax
(561) 275-1156
NPI assigned
Jul 6, 2010
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125.056685 IL
Pediatrics Physician 208000000X ME115382 FL Primary

Addresses

Primary practice location

421 S Dixie Hwy
Lake Worth, FL 33460-4442

Mailing address

421 S Dixie Hwy
Lake Worth, FL 33460-4442
Phone (561) 275-1155

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
I20231025002383 FL Practitioner - Pediatric Medicine 4789840216 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.056685ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, P. a #4 Pediatrics CurrentSince Nov 1, 2023 Accepting new patients
Soma Medical Center, PA CurrentSince Oct 20, 2023 Accepting new patients
Soma Medical Center, PA CurrentSince Oct 20, 2023 Accepting new patients
Soma Medical Center, PA 2 Pediatrics Past Accepting new patients
Soma Medical Center, PA #4 Pediatrics Past Accepting new patients
Soma Medical Center, PA #4 Pediatrics Past Accepting new patients
Soma Medical Center, PA #4 Pediatrics Past Accepting new patients
Soma Medical Center, PA #4 Pediatrics Past Accepting new patients
Soma Medical Center, PA 2 Pediatrics Past Accepting new patients

Locations

330 S Dixie Hwy
Ste 3
Lake Worth, FL 33460
Phone (561) 275-1155

421 S Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 275-1155

421 S Dixie Hwy
Ste 3
Lake Worth Beach, FL 33460

5333 N Dixie Hwy
Ste 207209
Oakland Park, FL 33334
Phone (954) 229-1005

10125 W Colonial Dr
Ste 205
Ocoee, FL 34761
Phone (407) 578-1241

3145 S Congress Ave
Ste B
Palm Springs, FL 33461
Phone (561) 360-2034

3580 Lake Worth Rd
Palm Springs, FL 33461
Phone (561) 425-5075

1170 SW Bayshore Blvd
Ste 100
Port St Lucie, FL 34983
Phone (561) 281-4707

1402 Royal Palm Beach Blvd
Ste 700
Royal Palm Beach, FL 33411
Phone (561) 650-5636

1840 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33406
Phone (561) 964-1181

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

4623 Forest Hill Blvd
Ste 112
West Palm Beach, FL 33415
Phone (561) 433-0080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1750693867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604442",
            "telephone_number": "561-275-1155",
            "fax_number": "561-275-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604442",
            "telephone_number": "561-275-1155",
            "fax_number": "561-275-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADEA LOPEZ",
        "first_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.056685",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.