Individual provider Active NPI

Julio A Rodriguez-Lopez, MD

  • Vascular Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1932100880
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
20910 Issued in AZ
Practice address
333 W Thomas Rd
Phoenix, AZ 85013-4417
Phone
(602) 374-4101
Fax
(602) 441-0522
NPI assigned
Aug 2, 2005
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20910 AZ
Vascular Surgery Physician 2086S0129X 20910 AZ Primary

Addresses

Primary practice location

333 W Thomas Rd
Phoenix, AZ 85013-4417

Mailing address

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

Other practice location 1

9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101

Other identifiers 1

IdentifierTypeStateIssuer
115180MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110106000995 AZ Practitioner - Vascular Surgery 7911956909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Vein and Endovascular LLCGroup PAC ID 1951550888, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 561-7228

2204 S Dobson Rd
Suite 201
Mesa, AZ 85202-6457
Phone (602) 374-4101

9192 W Union Hills Dr
Peoria, AZ 85382-8208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal61
Leg revascularization (restoring blood flow)36
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20910AZMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Vascular Institute PLLC Vascular Surgery CurrentSince Mar 1, 2015 Accepting new patients
Sonoran Vein and Endovascular LLC CurrentSince Feb 10, 2025 Accepting new patients
Western Vascular Institute PLLC Vascular Surgery CurrentSince Mar 1, 2015 Accepting new patients
Sonoran Vein and Endovascular LLC Vascular Surgery CurrentSince Feb 11, 2025 Accepting new patients

Locations

2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (480) 371-4516

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

7165 E University Dr
Ste 183
Mesa, AZ 85207

7165 E University Dr
Ste 187
Mesa, AZ 85207
Phone 4806685000 ext. 316

708 S Coeur D Alene Ln
Ste B
Payson, AZ 85541
Phone (928) 468-8603

9192 W Union Hills Dr
Peoria, AZ 85382

9192 W Union Hills Dr
Ste 100
Peoria, AZ 85382

9192 W Union Hills Dr
Ste 103
Peoria, AZ 85382
Phone (602) 654-1950

124 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-5822

333 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 253-4120

3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990

3600 N 3rd Ave
Ste B
Phoenix, AZ 85013
Phone (602) 476-0800

2055 W Hospital Dr
Ste 145
Tucson, AZ 85704
Phone (520) 469-8147

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: julio.rodriguezlopez.p1@direct.wvi.nextgenshare.com

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 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1932100880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828208",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134417",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9192 W Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828208",
            "country_code": "US",
            "telephone_number": "602-374-4101",
            "fax_number": "602-441-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-LOPEZ",
        "first_name": "JULIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "20910",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "20910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.