JOSE ERNESTO LOPEZ TABLAS MD
NPI 1235494568
Pediatrics in Hanover, PA

Q: What is Jose Lopez Tablas's NPI number?

The NPI number for Jose Lopez Tablas is 1235494568. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Q: What is Jose Lopez Tablas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Lopez Tablas was last updated on February 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2012PECOS Enrolled

300 HIGHLAND AVE, HANOVER, PA 17331(717) 316-3711(717) 316-3049 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2025, Jan 29, 2021, May 18, 2020 and 2 more (5 updates tracked since 2016).

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About Jose Ernesto Lopez Tablas Md NPPES

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

JOSE ERNESTO LOPEZ TABLAS MD (NPI 1235494568) is an individual pediatrics provider in Hanover, Pennsylvania, licensed in Pennsylvania (MD450276) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235494568

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOSE ERNESTO LOPEZ TABLASCredential: MD

Location Address300 HIGHLAND AVEHanover, PA 17331-2297

Mailing Address300 Highland AveHanover, PA 17331-2297 · (717) 316-3711 · Fax (717) 316-3049

Phone(717) 316-3711

Fax(717) 316-3049

Sole ProprietorNo

Enumeration DateJuly 12, 2012

Last NPPES UpdateFebruary 26, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1235494568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · MD450276✔ Licensed in OR · MD158669✔ Licensed in SC · 82513

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

300 HIGHLAND AVE, Hanover, PA 17331

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Secondary Practice Locations 2

Location 1BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH, 974 RIBAUT RDBEAUFORT, SC 29902-5486 · Phone (843) 524-3344 · Fax (844) 295-9894

Location 21000 E Mountain BlvdWilkes Barre, PA 18711-0027 · Phone (570) 808-7333 · Fax (570) 808-7325

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Ernesto Lopez Tablas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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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.

UPMC HANOVER

Clinical Medical Laboratory