Individual provider Active NPI

Gabriel Lopez, M.D.

  • Interventional Pain Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1801814165
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L9326 Issued in TX
Practice address
3825 S Padre Island Dr
Corpus Christi, TX 78415-2913
Phone
(361) 225-0089
Fax
(361) 225-0017
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9326 TX
Interventional Pain Medicine Physician 208VP0014X L9326 TX Primary

Addresses

Primary practice location

3825 S Padre Island Dr
Corpus Christi, TX 78415-2913

Mailing address

4833 Saratoga Blvd # 272
Corpus Christi, TX 78413-2213
Phone (361) 991-0704

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
I20040730000327 TX Practitioner - Pain Management 4284604703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3825 S Padre Island Dr
Corpus Christi, TX 78415-2913
Phone (361) 225-0089

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9326TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Specialty Surgical Center LLC CurrentSince Jan 3, 2018 Accepting new patients
Corpus Christi Pain Medicine, P.a. CurrentSince Sep 1, 2006 Accepting new patients
Corpus Christi Pain Medicine Past Accepting new patients
Titan Anesthesia Associates LLC PastSince May 3, 2009 Accepting new patients

Locations

3301 S Alameda St
Ste 501
Corpus Christi, TX 78411
Phone (361) 853-0867

3825 Spid Dr
Corpus Christi, TX 78415
Phone (361) 225-0089

4833 Saratoga Blvd
Corpus Christi, TX 78413
Phone (361) 563-8868

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1801814165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 SARATOGA BLVD # 272",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132213",
            "telephone_number": "361-991-0704",
            "fax_number": "361-993-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152913",
            "telephone_number": "361-225-0089",
            "fax_number": "361-225-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L9326",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L9326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.