Individual provider Active NPI

Raul Guillermo Lopez Valle, MD

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1912227893
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8153 Issued in TX
Practice address
900 Granberry St
Humble, TX 77338-4757
Phone
(281) 973-8049
Fax
(281) 570-2943
NPI assigned
Jun 2, 2010
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8153 TX Primary

Addresses

Primary practice location

900 Granberry St
Humble, TX 77338-4757

Mailing address

900 Granberry St
Humble, TX 77338-4757
Phone (281) 973-8049

Other names 1

  • Dr. Raul Guillermo Lopez Valle Professional name

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
I20131218001731 TX Practitioner - Family Practice 0840427811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1712 E 1St St
Humble, TX 77338-5238
Phone (281) 446-4139

6410 Fannin St
Houston, TX 77030-3005

818 Ringold St
Houston, TX 77088-6368
Phone (281) 448-6391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8153TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince May 28, 2024 Accepting new patients
Ut Physicians CurrentSince May 28, 2024 Accepting new patients
Protec Ambulance Transport CurrentSince Oct 4, 2020 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1912227893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GRANBERRY ST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384757",
            "telephone_number": "281-973-8049",
            "fax_number": "281-570-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRANBERRY ST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384757",
            "telephone_number": "281-973-8049",
            "fax_number": "281-570-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VALLE",
        "first_name": "RAUL",
        "middle_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "LOPEZ VALLE",
            "middle_name": "GUILLERMO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.