DR. LUIS EMILIO LOPEZ LA ROSA MD
NPI 1104434455
Internal Medicine in Smithfield, RI

Q: What is Luis Lopez La Rosa's NPI number?

The NPI number for Luis Lopez La Rosa is 1104434455. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Q: What is Luis Lopez La Rosa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment

41 SANDERSON RD, SMITHFIELD, RI 02917(401) 349-5255(401) 349-2408 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2021, Jul 22, 2020 (2 updates tracked since 2020).

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About Dr. Luis Emilio Lopez La Rosa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS EMILIO LOPEZ LA ROSA MD (NPI 1104434455) is an individual internal medicine provider in Smithfield, Rhode Island, licensed in Rhode Island (CMD19061) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104434455

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. LUIS EMILIO LOPEZ LA ROSACredential: MD

Location Address41 SANDERSON RDSmithfield, RI 02917-2602

Mailing Address100 Woods RdValhalla, NY 10595-1530 · (914) 493-7000

Phone(401) 349-5255

Fax(401) 349-2408

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 22, 2020

Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2024

✔ NPI 1104434455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · CMD19061

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

41 SANDERSON RD, Smithfield, RI 02917

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Secondary Practice Locations 2

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000

Location 21400 Pelham Pkwy SBronx, NY 10461-1138 · Phone (718) 918-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis Emilio Lopez La Rosa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901266303

PECOS Enrollment IDI20230717003395

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services59 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

31 services28 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410005

Location200 High Service AvenueNorth Providence, RI 02904 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID THOMAS PUGLIESE O.D.

Optometrist

41 SANDERSON RD, SUITE 203
SMITHFIELD, RI 02917

Providence County (401) 349-4791

SMITHFIELD DENTAL ASSOCIATES

Dentist (Endodontics)

41 SANDERSON RD, SUITE 106
SMITHFIELD, RI 02917

Providence County (617) 894-4220

SANDRA ALFRED NP

Nurse Practitioner

41 SANDERSON RD, SUITE 205
SMITHFIELD, RI 02917

Providence County (401) 349-0366

DR. VANESSA GREENIER MD

Internal Medicine

41 SANDERSON RD, SUITE 201
SMITHFIELD, RI 02917

Providence County (401) 949-0300

DR. FRANK FRAIOLI JR. D.O.

Family Medicine

41 SANDERSON RD, SUITE 206
SMITHFIELD, RI 02917

Providence County (401) 349-2203

NIDHI B SHARMA M.D.

Internal Medicine

41 SANDERSON RD, SUITE 201
SMITHFIELD, RI 02917

Providence County (401) 949-0300

DOMINIC JOHN RODA D.P.M.

Podiatrist (Foot & Ankle Surgery)

41 SANDERSON RD, STE 207
SMITHFIELD, RI 02917

Providence County (401) 949-3220

LAUREL AVERY SCOTT RD

Dietitian, Registered

41 SANDERSON RD
SMITHFIELD, RI 02917

Providence County (401) 521-6310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Lopez La Rosa's NPI number?

The NPI number for Luis Lopez La Rosa is 1104434455. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Luis Lopez La Rosa located?

Luis Lopez La Rosa practices at 41 Sanderson Rd, Smithfield, RI 02917. The listed phone number is (401) 349-5255.

What is Luis Lopez La Rosa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luis Lopez La Rosa enrolled in Medicare?

Yes. Luis Lopez La Rosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Luis Lopez La Rosa affiliated with any hospitals?

According to CMS data, Luis Lopez La Rosa is affiliated with Our Lady Of Fatima Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Luis Lopez La Rosa was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.