MIGUEL ANGEL IBARRA LOPEZ MD
NPI 1700469384
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Miguel Ibarra Lopez's NPI number?

The NPI number for Miguel Ibarra Lopez is 1700469384. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Q: What is Miguel Ibarra Lopez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 03, 2021PECOS Enrolled

550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202(317) 948-2444 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2024, May 2, 2023, Apr 11, 2023 and 2 more (5 updates tracked since 2021).

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About Miguel Angel Ibarra Lopez Md NPPES

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

MIGUEL ANGEL IBARRA LOPEZ MD (NPI 1700469384) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700469384

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMIGUEL ANGEL IBARRA LOPEZCredential: MD

Location Address550 UNIVERSITY BLVD RM 641Indianapolis, IN 46202-5149

Mailing Address550 University Blvd Rm 641Indianapolis, IN 46202-5149 · (317) 948-2444

Phone(317) 948-2444

Sole ProprietorYes

Enumeration DateMay 3, 2021

Last NPPES UpdateJune 17, 20245 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1700469384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 UNIVERSITY BLVD RM 641, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miguel Angel Ibarra Lopez 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.

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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.

ALIKEM MIRIAM AGAMAH

Student in an Organized Health Care Education/Training Program