Individual provider Active NPI

Kristel Fernandez-Lopez, MD

  • Internal Medicine Physician
  • San Benito, TX
National Provider Identifier
1982272589
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V4908 Issued in TX
Practice address
850 W US Highway 77 Ste C
San Benito, TX 78586-4317
Phone
(956) 361-4558
Fax
(956) 361-4998
NPI assigned
Jun 11, 2021
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V4908 TX Primary

Addresses

Primary practice location

850 W US Highway 77 Ste C
San Benito, TX 78586-4317

Mailing address

850 W US Highway 77 Ste C
San Benito, TX 78586-4317
Phone (956) 361-4558

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Galveston

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
I20241209001994 TX Practitioner - Internal Medicine 4385045376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

850 W Business Hwy 77 C
Wellmed at San Benito
San Benito, TX 78586-5232
Phone (956) 361-4558

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Utmb Faculty Group Practice Internal Medicine Past Accepting new patients

Locations

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

850 W US Highway 77
Ste C
San Benito, TX 78586
Phone (956) 361-4558

Interoperability endpoints

  • Direct secure messaging: kristel.fernandezlopez@wellmed.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1982272589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W US HIGHWAY 77 STE C",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864317",
            "telephone_number": "956-361-4558",
            "fax_number": "956-361-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W US HIGHWAY 77 STE C",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864317",
            "telephone_number": "956-361-4558",
            "fax_number": "956-361-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-LOPEZ",
        "first_name": "KRISTEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Galveston",
            "affiliation": "N",
            "address_1": "301 University Blvd",
            "city": "Galveston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775555303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

Verify at the official NPI Registry.