Individual provider Active NPI

Jose Ignacio Lopez, M.D

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1942307681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82816 Issued in FL
Practice address
6101 Webb Rd
Suite # 209
Tampa, FL 33615-2872
Phone
(813) 890-8000
Fax
(813) 886-0508
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82816 FL Primary

Addresses

Primary practice location

6101 Webb Rd
Suite # 209
Tampa, FL 33615-2872

Mailing address

6101 Webb Rd
Suite # 209
Tampa, FL 33615-2872
Phone (813) 890-8000

Other identifiers 1

IdentifierTypeStateIssuer
269738600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040909001194 FL Practitioner - Internal Medicine 5395711345 Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6101 Webb Rd
Tampa, FL 33615-2865
Phone (813) 890-8000

Hospital & facility affiliations

  • Divine Home Health Care Inc Home health agency, Tampa, FL, CCN 109361
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82816FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Ignacio Lopez, MD., PA Internal Medicine Past Accepting new patients
Eduardo Ercia MD PA Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: joselopez@jlm.ssdirect.aprima.com

Organizations & group practices 2

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.

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942307681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE # 209",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-890-8000",
            "fax_number": "813-886-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE # 209",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-890-8000",
            "fax_number": "813-886-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269738600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.