Active NPI
Miguel Angel Lopez, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1831228121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T4203
- Practice address
- 11212 Highway 151
San Antonio, TX 78251-4498 - Phone
- (210) 450-9900
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T4203 | TX | Primary |
Addresses
Primary practice location
11212 Highway 151
San Antonio, TX 78251-4498
Mailing address
11212 Highway 151
San Antonio, TX 78251-4498
Phone (210) 450-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831228121 | Medicaid | TX | |
| 276827500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6410 Fannin St
Suite 510
Houston, TX 77030-3005
Phone (713) 500-5736
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
- Memorial Hermann Memorial City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Family Medicine | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Ut Physicians Specialty Services | Family Medicine | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
14530 NW Military Hwy
Shavano Park, TX 78231
Phone (210) 450-6220
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1801945027
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Family Medicine
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1831228121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514498",
"telephone_number": "210-450-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514498",
"telephone_number": "210-450-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T4203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831228121",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276827500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.