Individual provider Active NPI

Randolph A Lopez, MD

  • Orthopaedic Hand Surgery Physician
  • Houston, TX
National Provider Identifier
1780789719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
M0474 Issued in TX
Practice address
3726 Dacoma
Houston, TX 77092
Phone
(713) 812-1612
Fax
(281) 537-7371
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X M0474 TX Primary

Addresses

Primary practice location

3726 Dacoma
Houston, TX 77092

Mailing address

PO Box 73547
Houston, TX 77273
Phone (713) 812-1612

Other identifiers 1

IdentifierTypeStateIssuer
8U4390OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050209000389 TX Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 6103877964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, shared by 9 NPIs, 91 clinicians
Hand Surgery Specialists of HoustonGroup PAC ID 8224261482, 3 clinicians
Action Therapy Centers LimitedGroup PAC ID 3173433265, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

13440 University Blvd
Suite 210
Sugar Land, TX 77479-4909
Phone (281) 277-1330

1355 W Gray
Suite B
Houston, TX 77019-4019

1355 W Gray St
Suite B
Houston, TX 77019-4019

21733 Provincial Blvd
Suite 820
Katy, TX 77450-6536
Phone (713) 374-4263

4009 Bellaire Blvd
Suite M
Houston, TX 77025-1168

800 Peakwood Dr
Suite 8B
Houston, TX 77090-2904
Phone (713) 522-5111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0474TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Specialists of Houston Hand Surgery CurrentSince Nov 1, 2013 Accepting new patients
St Michaels Labs Inc PastSince Jan 1, 2013 Accepting new patients
Northwest Houston Hand Center PA Hand Surgery PastSince Jun 1, 2005 Accepting new patients

Locations

4002 Garth Rd
Ste 100
Baytown, TX 77521
Phone (281) 420-2391

810 Waugh Dr
Ste 200
Houston, TX 77019
Phone (713) 522-5111

800 Peakwood Dr
Ste 8B
Houston, TX 77090
Phone (281) 580-6797

21733 Provincial Blvd
Ste 820
Katy, TX 77450
Phone (713) 751-9242

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHACCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780789719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73547",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77273",
            "telephone_number": "713-812-1612",
            "fax_number": "281-537-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 DACOMA",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77092",
            "telephone_number": "713-812-1612",
            "fax_number": "281-537-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RANDOLPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "M0474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U4390",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.