Individual provider Active NPI

Adrian Lopez Jr.

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1972245066
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4907 S Collins St Ste 111
Arlington, TX 76018-1157
Phone
(972) 987-0969
NPI assigned
Apr 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4907 S Collins St Ste 111
Arlington, TX 76018-1157

Mailing address

4907 S Collins St Ste 111
Arlington, TX 76018-1157
Phone (972) 987-0969

Other practice location 1

440 W Lyndon B Johnson Fwy Ste 465
Irving, TX 75063-3869
Phone (972) 987-0969

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725000007 TX Practitioner - Physician Assistant 9931569811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine DFW PAGroup PAC ID 1052747276, 5 clinicians

Practice addresses (Care Compare)

440 W Lyndon B Johnson Fwy
Suite 465
Irving, TX 75063-3869
Phone (972) 987-0969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
71.22
Improvement activities
40
Cost
69.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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 4

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": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1972245066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 S COLLINS ST STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181157",
            "telephone_number": "972-987-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 S COLLINS ST STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181157",
            "telephone_number": "972-987-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 W Lyndon B Johnson Fwy Ste 465",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633869",
            "country_code": "US",
            "telephone_number": "972-987-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ADRIAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-10",
        "last_updated": "2023-05-13",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.