Active NPI
Daniel Esteban Lopez, MD
- Vascular Surgery Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD482247
- Practice address
- 5 Addison CT
Mansfield, TX 76063-5511 - Phone
- (217) 621-5907
- NPI assigned
- Aug 5, 2007
- Last updated
- Mar 13, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | N9592 | TX | |
| Vascular Surgery Physician | 2086S0129X | N9592 | TX | |
| Vascular Surgery Physician | 2086S0129X | MD482247 | PA | Primary |
| Vascular Surgery Physician | 2086S0129X | TL3102 | WY |
Addresses
Primary practice location
5 Addison CT
Mansfield, TX 76063-5511
Mailing address
5 Addison CT
Mansfield, TX 76063-5511
Phone (217) 621-5907
Other practice location 1
1703 Innovation Dr Ste 4120
York, PA 17408-8815
Phone (717) 849-5576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303099101 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlopez253444@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1607 Creekside Loop
Suite 100
Yakima, WA 98902-4882
Phone (509) 453-4614
2270 S Ridgeview Dr
Suite 201
Yuma, AZ 85364-8880
Phone (928) 344-5055
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N9592 | TX | MD | Surgery Physician |
| TL3102 | WY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Cheyenne Regional Physicians Group, LLC | Past | Accepting new patients |
Locations
2270 S Ridgeview Dr
Ste 201
Yuma, AZ 85364
Phone (928) 344-5055
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
1607 Creekside Loop
#100
Yakima, WA 98902
Phone (509) 225-4669
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- dlopez777712@direct.multicare.org
Organizations & group practices 8
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba MultiCare Immediate Clinic
- Family Medicine Physician
- Tacoma, WA
- NPI 1396297487
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
- Pediatrics Physician
- Cheyenne, WY
- NPI 1629737259
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Capital Medical Center
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1801087093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ADDISON CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635511",
"telephone_number": "217-621-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ADDISON CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635511",
"telephone_number": "217-621-5907"
}
],
"practiceLocations": [
{
"address_1": "1703 Innovation Dr Ste 4120",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174088815",
"country_code": "US",
"telephone_number": "717-849-5576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "DANIEL",
"middle_name": "ESTEBAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N9592",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "N9592",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD482247",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WY",
"license": "TL3102",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303099101",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlopez253444@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1703 Innovation Dr Ste 4120",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174088815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.