Karen D Rodriguez Lopez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10430 Issued in AZ

Practice address

9169 W Van Buren St
Tolleson, AZ 85353-2942

Phone

(623) 233-6676

Fax

(602) 314-4579

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Family Medicine LLCGroup PAC ID 5092007427, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

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.

• American Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1477908085
  Medicare reassignment Care Compare group
• American Family Medicine LLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1164287124

  Physician Assistant

  NPD
• American Family Medicine LLC

  • Family Medicine Physician
  • Tolleson, AZ
  • NPI 1770348724
  NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1972335677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9169 W VAN BUREN ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532942",
            "telephone_number": "623-233-6676",
            "fax_number": "602-314-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9169 W VAN BUREN ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532942",
            "telephone_number": "623-233-6676",
            "fax_number": "602-314-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LOPEZ",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakeesha R Reeves-Pelt, M.A., CFY-SLP
• Rehoboth Broad LLC
• Steve Reupena, STEVE REUPENA
• Whitney M Rice, PHARMD
• Dominique Nadine Rodallegas
• Damaso Enrique Montes Rodriguez
• Janet Rodriguez
• Jose Rodriguez
• Karyna Rodriguez
• John Anthony Romero, PHARMD

• Physician Assistant in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.