Individual provider Active NPI

Juan A. Lopez, M.D.

  • Diagnostic Radiology Physician
  • Doral, FL
National Provider Identifier
1801915384
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0074614 Issued in FL
Practice address
4683 NW 112TH CT
Doral, FL 33178-4347
Phone
(305) 477-2081
NPI assigned
Mar 28, 2007
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME0074614 FL Primary
Diagnostic Radiology Physician 2085R0202X C201526 CA
Diagnostic Radiology Physician 2085R0202X 0101285621 VA
Diagnostic Radiology Physician 2085R0202X 2024039991 MO
Diagnostic Radiology Physician 2085R0202X 104315 GA

Addresses

Primary practice location

4683 NW 112TH CT
Doral, FL 33178-4347

Mailing address

4683 NW 112TH CT
Doral, FL 33178-4347

Other practice location 1

6000 State Farm Dr Ste 150
Rohnert Park, CA 94928-2226
Phone (707) 576-4392

Other practice location 2

PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000

Other practice location 3

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5300

Other practice location 4

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199

Other practice location 5

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000

Other identifiers 1

IdentifierTypeStateIssuer
258381000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, SC, NC, MA, ND, CA, NE, GA, IA, MO, TX12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20120604000268 FL Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 22 organizations
I20250415002275 NM Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 3 organizations
I20250612001795 SC Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 2 organizations
I20250730004346 NC Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 3 organizations
I20250916004392 MA Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 2 organizations
I20251028001465 ND Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization
I20251028002252 CA Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization
I20251113003288 NE Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization
I20251218004322 GA Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization
I20260115001385 IA Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization
I20260305001557 MO Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization
I20260611004105 TX Practitioner - Diagnostic Radiology 9436147766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians
Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians
X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians
East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians
Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

Enterprise, FL 32725
Phone (864) 226-0511

101 E Wood St
Spartanburg, SC 29303-3040

1230 Enterprise Osteen Rd
Enterprise, FL 32725-9401
Phone (601) 288-7000

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (904) 399-5550

1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

2675 Manor Cir
Gulf Breeze, FL 32563-2591
Phone (319) 364-0121

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

4535 SW 105TH Dr
Gainesville, FL 32608-7138
Phone (601) 450-0521

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

700 W Oak St
Kissimmee, FL 34741-4996
Phone (904) 399-5550

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (904) 399-5550

Hospital & facility affiliations

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
C201526CAMDDiagnostic Radiology Physician
ME0074614FLMDDiagnostic Radiology Physician
104315GAMDDiagnostic Radiology Physician
2024039991MOMDDiagnostic Radiology Physician
0101285621VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Feb 24, 2026 Accepting new patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Trinity Health Current Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 16, 2024 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology Current Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Oct 25, 2025 Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince May 1, 2025 Accepting new patients
Trinity Health CurrentSince Oct 2, 2025 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 1, 2025 Accepting new patients
Lincoln Radiology Group P C Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 1, 2025 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Feb 15, 2026 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Trinity Health CurrentSince Oct 2, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Reliant Medical Group, Inc Family Medicine CurrentSince Oct 2, 2025 Accepting new patients
Radiology Consultants of Iowa, PLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Oct 31, 2025 Accepting new patients
Cibola General Hospital Corporation CurrentSince May 1, 2025 Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Otero County Hospital Association CurrentSince May 1, 2025 Accepting new patients
Henry County Health Center Inc CurrentSince Mar 28, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Nov 19, 2025 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince May 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Regional West Medical Center Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Comprehensive Radiology Services, PLLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Florida Department of Health Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 69)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 576-4392

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

1890 Lpga Blvd
Ste 100
Daytona Beach, FL 32117

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: jlopez3026308@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 56

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.

View all 56

Hospital & facility affiliations 5

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1801915384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4683 NW 112TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4683 NW 112TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784347",
            "telephone_number": "305-477-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 State Farm Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282226",
            "country_code": "US",
            "telephone_number": "707-576-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 5010",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587025010",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5300",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1199",
            "fax_number": "703-583-4923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0074614",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C201526",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101285621",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024039991",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "104315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258381000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.