Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOSE LUIS LOPEZ JR. M.D.
NPI 1336352806
Psychiatry & Neurology - Neurology in Mishawaka, IN

Q: What is Jose Lopez's NPI number?

The NPI number for Jose Lopez is 1336352806. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Jose Lopez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 08, 2007PECOS Enrolled

5314 LINCOLNWAY E, MISHAWAKA, IN 46544(574) 647-8542(574) 647-8549 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, May 18, 2026, May 1, 2023 and 3 more (6 updates tracked since 2016).

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About Dr. Jose Luis Lopez Jr. M.d. NPPES

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

DR. JOSE LUIS LOPEZ JR. M.D. (NPI 1336352806) is an individual neurology provider in Mishawaka, Indiana, licensed in Indiana (01073464A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1336352806

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JOSE LUIS LOPEZ JR.Credential: M.D.

Location Address5314 LINCOLNWAY EMishawaka, IN 46544-4249

Mailing Address3245 Health Drive, Suite 100Granger, IN 46530-3245 · (574) 647-1840

Phone(574) 647-8542

Fax(574) 647-8549

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2007

Enumeration DateMay 8, 2007

Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1336352806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 01073464A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

5314 LINCOLNWAY E, Mishawaka, IN 46544

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Secondary Practice Location 1

Location 1100 Navarre Pl Ste 4400South Bend, IN 46601-1100 · Phone (574) 647-2501 · Fax (574) 647-2506

Other Identifiers 1

Medicaid201214240IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Jose Luis Lopez Jr. M.d. 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 ID4082883616

PECOS Enrollment IDI20140313001889

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 3

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.

106 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

56 services56 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150018

Location600 E BlvdElkhart, IN 46514 · Elkhart County

Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151300

Location1020 High RdBremen, IN 46506 · Marshall County

Emergency services

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151306

Location642 W Hospital RdPaoli, IN 47454 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 14

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

AMY M BROWN NP

Nurse Practitioner (Family)