Active NPI
Jose A Lopez, M.D.
- Hematology & Oncology Physician
- Fredericksburg, TX
National Provider Identifier
1952317232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G6963
- Practice address
- 204 W Schubert St
Fredericksburg, TX 78624-3847 - Phone
- (830) 990-0255
- Fax
- (830) 997-7569
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G6963 | TX | Primary |
Addresses
Primary practice location
204 W Schubert St
Fredericksburg, TX 78624-3847
Mailing address
204 W Schubert St
Fredericksburg, TX 78624-3847
Phone (830) 990-0255
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125442702 | Medicaid | TX | |
| 4547005 | Other | TX | AETNA PPO |
| 83Z202 | Other | TX | BLUECROSS/BLUE SHIELD TX. |
| 924703 | Other | TX | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Network of South Texas PA | Hematology & Oncology | Past | Accepting new patients |
| Cancer Care Network of South Texas PA | Hematology & Oncology | Past | Accepting new patients |
| Cancer Care Network of South Texas PA | Hematology & Oncology | Past | Accepting new patients |
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.
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1225064603
-
- Hematology & Oncology Physician
- Seguin, TX
- NPI 1316198443
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1942486964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1952317232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W SCHUBERT ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243847",
"telephone_number": "830-990-0255",
"fax_number": "830-997-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W SCHUBERT ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243847",
"telephone_number": "830-990-0255",
"fax_number": "830-997-7569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOSE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "G6963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125442702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4547005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUE SHIELD TX.",
"identifier": "83Z202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "924703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.