Individual provider Active NPI

Daniel Esteban Lopez, MD

  • Vascular Surgery Physician
  • Mansfield, TX
National Provider Identifier
1801087093
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD482247 Issued in PA
Practice address
5 Addison CT
Mansfield, TX 76063-5511
Phone
(217) 621-5907
NPI assigned
Aug 5, 2007
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
303099101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlopez253444@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120809000786 TX Practitioner - General Surgery 1759537533 Reassigns benefits to 1 organization
I20170329002337 WA Practitioner - Vascular SurgeryPractitioner - General Surgery 1759537533 Reassigns benefits to 2 organizations
I20240326002147 AZ Practitioner - Vascular Surgery 1759537533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General 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
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

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

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9592TXMDSurgery Physician
TL3102WYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2020 Accepting new patients
Multicare Health System CurrentSince Oct 1, 2025 Accepting new patients
Multicare Health System CurrentSince Oct 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 25, 2018 Accepting new patients
Cheyenne Regional Physicians Group, LLC PastSince Dec 12, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.