Individual provider Active NPI

Alejandro Lopez Jr., M.D.

  • Family Medicine Physician
  • Alice, TX
National Provider Identifier
1962498121
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3569 Issued in TX
Practice address
201 Mariposa
Alice, TX 78332-4177
Phone
(361) 664-8811
Fax
(361) 664-8992
NPI assigned
Sep 23, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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 G3569 TX Primary

Addresses

Primary practice location

201 Mariposa
Alice, TX 78332-4177

Mailing address

201 Mariposa
Alice, TX 78332-4177
Phone (361) 664-8811

Other identifiers 1

IdentifierTypeStateIssuer
122456001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070131000453 TX Practitioner - Family PracticePractitioner - Internal Medicine 8426050618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monzer H Yazji MD and Associates PLLC 83 clinicians

Practice addresses (Care Compare)

201 Mariposa
Alice, TX 78332-4177
Phone (361) 664-8811

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC Family Medicine CurrentSince Oct 17, 2024 Accepting new patients
Ramsey Inpatient Physicians PLLC Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

201 Mariposa
Alice, TX 78332
Phone (361) 664-8811

3945 Interstate Highway 69 Access Rd
Corpus Christi, TX 78410
Phone (361) 767-1500

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

Interoperability endpoints

  • Direct secure messaging: alejandro.lopez.1@33464.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1962498121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARIPOSA",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324177",
            "telephone_number": "361-664-8811",
            "fax_number": "361-664-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARIPOSA",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324177",
            "telephone_number": "361-664-8811",
            "fax_number": "361-664-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-07-01",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122456001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.