Edibaldo Silva Lopez, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

0101275456 Issued in VA

Practice address

13900 Church Hill Dr
Woodbridge, VA 22191-2131

Phone

(703) 335-2779

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9172/brand/1/csg/1/fhir/r4
• Direct secure messaging: edibaldo.silva.1@18665.direct.athenahealth.com

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.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment NPD
• Catholic Charaties Diocese of Arlington

  • Primary Care Clinic/Center
  • Manassas, VA
  • NPI 1801630801
  NPD (past)
• Creighton University

  • Allergy & Immunology (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1295777225
  NPD (past)
• Creighton University

  • Physical Therapist
  • Omaha, NE
  • NPI 1780172304
  NPD (past)
• Memphis Surgical Specialists, PC

  • Surgery Physician
  • Memphis, TN
  • NPI 1407981467

  Surgical Oncology

  NPD (past)
• Surgical Group PC

  • Surgery Physician
  • Hartford, CT
  • NPI 1770533978
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1942315569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 CHURCH HILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912131",
            "telephone_number": "703-335-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 CHURCH HILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912131",
            "telephone_number": "703-335-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA LOPEZ",
        "first_name": "EDIBALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NE",
            "license": "22537",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VA",
            "license": "0101275456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan H. Shuster, L.C.S.W., C.S.A.C.
• Sierra Counseling Services, LLC
• Sierra Systems, Inc.
• Robert A Sikora Jr., M.D.
• Zaher Silk, DDS
• Roseller Balagtas Simbulan Jr, NP
• Dale S.P. Simmonds, MD
• Warren Oliver Simmons II, PHARMD.
• Karry Elizabeth Simons, CSA, L-SA
• Simply Beautiful Skincare and Bodywork,LLC

• Surgical Oncology Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Surgical Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.