Active NPI
Luis Alfredo Lopez, M.D.
- Internal Medicine Physician
- Salina, KS
National Provider Identifier
1760895395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-40018
- Practice address
- 2337 E Crawford St
Salina, KS 67401-3713 - Phone
- (785) 823-0633
- Fax
- (785) 823-0658
- NPI assigned
- Jun 11, 2014
- Last updated
- Oct 10, 2024
- 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 | 036142956 | IL | |
| Internal Medicine Physician | 207R00000X | 04-40018 | KS | Primary |
Addresses
Primary practice location
2337 E Crawford St
Salina, KS 67401-3713
Mailing address
PO Box 256
Salina, KS 67402-0256
Phone (785) 823-0633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-40018 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group, PC | Internal Medicine | Current | Accepting new patients |
| Central Care PA | Past | Accepting new patients |
Locations
3433 W Madison St
Chicago, IL 60624
Phone (773) 242-2299
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
Internal Medicine
-
- Mobile Radiology Clinic/Center
- Liberal, KS
- NPI 1396131496
-
- Radiation Oncology Physician
- Great Bend, KS
- NPI 1518388420
-
- Mobile Radiology Clinic/Center
- Dodge City, KS
- NPI 1730575838
-
dba Central Care Cancer Center
- Radiation Oncology Physician
- El Dorado, KS
- NPI 1497617286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1760895395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "SALINA",
"state": "KS",
"postal_code": "674020256",
"telephone_number": "785-823-0633",
"fax_number": "844-854-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 E CRAWFORD ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674013713",
"telephone_number": "785-823-0633",
"fax_number": "785-823-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUIS",
"middle_name": "ALFREDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036142956",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-40018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.