NPIMap

Individual provider Active NPI

Antonio Rafael Lopez-Canino, MD

  • Psychiatry Physician
  • Bonham, TX
National Provider Identifier
1821275470
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
242017 Issued in NY
Practice address
1201 East Ninth Street
North Texas Veterans Healthcare
Bonham, TX 75418
Phone
(903) 583-6241
NPI assigned
Jan 25, 2008
Last updated
Jan 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 242017 NY Primary

Addresses

Primary practice location

1201 East Ninth Street
North Texas Veterans Healthcare
Bonham, TX 75418

Mailing address

1201 East Ninth Street
North Texas Veterans Healthcare
Bonham, TX 75418
Phone (903) 583-6241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329001977 TX Practitioner - Psychiatry 7416232723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Practice addresses (Care Compare)

1708 Coit Rd
Suite 210
Plano, TX 75075-5025
Phone (469) 361-2743

1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Feb 20, 2017 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
BSW Geode Clinicians of Texas PLLC Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Geode Health of Texas, PLLC Psychiatry CurrentSince Jul 16, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 20, 2017 Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

1801 Chukka Hina
Durant, OK 74701
Phone (580) 920-2100

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

1708 Coit Rd
Ste 210
Plano, TX 75075
Phone (469) 253-5877

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: antonio.lopez-canino.1@25899.direct.athenahealth.com

Organizations & group practices 6

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 11

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1821275470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EAST NINTH STREET",
            "address_2": "NORTH TEXAS VETERANS HEALTHCARE",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "75418",
            "telephone_number": "903-583-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EAST NINTH STREET",
            "address_2": "NORTH TEXAS VETERANS HEALTHCARE",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "75418",
            "telephone_number": "903-583-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-CANINO",
        "first_name": "ANTONIO",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "242017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

Verify at the official NPI Registry.