Active NPI
Johnny Alexander Sanabria Lopez, MD
- Neurology Physician
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 19413
- Practice address
- 301 Fisher St
Biloxi, MS 39534-2508 - Phone
- (228) 376-3791
- Fax
- (228) 376-0581
- NPI assigned
- Sep 14, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 31033 | MS | |
| Neurology Physician | 2084N0400X | 153661 | FL | |
| Neurology Physician | 2084N0400X | 19413 | PR | Primary |
Addresses
Primary practice location
301 Fisher St
Biloxi, MS 39534-2508
Mailing address
301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 286-3160
Other practice location 1
Puerto Rico Medical Center
Neurology Department, 5th Floor
San Juan, PR 00921-5067
Phone (787) 754-0101 ext. 2507
Other practice location 2
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (228) 286-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563
2819 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 762-3466
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111
3603 Bienville Blvd
Ocean Springs, MS 39564-5727
Phone (228) 872-8768
7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
- Memorial Hospital at Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153661 | FL | MD | Neurology Physician |
| 31033 | MS | MD | Neurology Physician |
| 19413 | PR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
Organizations & group practices 1
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
- Gautier, MS
- NPI 1083893937
Hospital & facility affiliations 63
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1750839148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342508",
"telephone_number": "228-286-3160",
"fax_number": "228-376-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342508",
"telephone_number": "228-376-3791",
"fax_number": "228-376-0581"
}
],
"practiceLocations": [
{
"address_1": "Puerto Rico Medical Center",
"address_2": "Neurology Department, 5th Floor",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009215067",
"country_code": "US",
"telephone_number": "787-754-0101 x2507",
"fax_number": "787-751-3911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Davis Blvd Ste 308",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063438",
"country_code": "US",
"telephone_number": "228-286-3160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANABRIA LOPEZ",
"first_name": "JOHNNY",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-14",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "31033",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "153661",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "19413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.