Individual provider Active NPI

Hector M Lopez, MD

  • Family Medicine Physician
  • Greenfield, WI
National Provider Identifier
1952389876
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33647 Issued in WI
Practice address
4931 S 27TH St
Suite 200
Greenfield, WI 53221-2652
Phone
(414) 546-3400
Fax
(414) 546-3500
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 33647 WI Primary

Addresses

Primary practice location

4931 S 27TH St
Suite 200
Greenfield, WI 53221-2652

Mailing address

4931 S 27TH St
Suite 200
Greenfield, WI 53221-2652
Phone (414) 546-3400

Other identifiers 2

IdentifierTypeStateIssuer
392004651MedicaidWI
31944500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040406000824 WI Practitioner - Family Practice 1456343458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33647WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Sep 1, 2015 Accepting new patients
Physician Management Services of Wisconsin, LLC Family Medicine Past Accepting new patients

Locations

4931 S 27th St
Ste 200
Milwaukee, WI 53221
Phone (262) 763-9007

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

Interoperability endpoints

  • Direct secure messaging: hector.lopez.1@18758.direct.athenahealth.com

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.

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1952389876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "address_2": "SUITE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212652",
            "telephone_number": "414-546-3400",
            "fax_number": "414-546-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "address_2": "SUITE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212652",
            "telephone_number": "414-546-3400",
            "fax_number": "414-546-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "HECTOR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392004651",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31944500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.