DR. MIGUEL ANGEL LOPEZ M.D.
NPI 1831228121
Family Medicine in San Antonio, TX

Q: What is Miguel Lopez's NPI number?

The NPI number for Miguel Lopez is 1831228121. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Miguel Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Lopez was last updated on February 6, 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.

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment

11212 HIGHWAY 151, SAN ANTONIO, TX 78251(210) 450-9900 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Miguel Angel Lopez M.d. NPPES

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

DR. MIGUEL ANGEL LOPEZ M.D. (NPI 1831228121) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (T4203) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1831228121

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MIGUEL ANGEL LOPEZCredential: M.D.

Location Address11212 HIGHWAY 151San Antonio, TX 78251-4498

Mailing Address11212 Highway 151San Antonio, TX 78251-4498 · (210) 450-9900

Phone(210) 450-9900

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMarch 5, 2007

Last NPPES UpdateFebruary 6, 2024

NPPES CertifiedFebruary 6, 2024

✔ NPI 1831228121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · T4203

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11212 HIGHWAY 151, San Antonio, TX 78251

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Other Identifiers 2

Medicaid1831228121TX

Medicaid276827500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Miguel Angel Lopez 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 ID547405102

PECOS Enrollment IDI20230102000296

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.

130 services74 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.

21 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers27 claims28 services$27.48 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers11 claims66 services$13.47 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers14 claims14 services$41.15 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers18 claims18 services$12.38 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers24 claims142 services$1.45 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers13 claims13 services$10.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

MS. KATHLEEN ELLEN GRZYBOWSKI RN

Registered Nurse

11212 HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (405) 708-8049

STEPHANIE ELISE WILLIAMS CRNA

Nurse Anesthetist, Certified Registered

11212 HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

MR. FELIPE ESPINOZA IV CSFA

Specialist/Technologist, Other (Surgical Assistant)

11212 HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

CYNTHIA L CANTU D.O.

Internal Medicine

11212 HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 450-9901

DR. JESSICA ASHLEY KITCHEN MD

Family Medicine

11212 HIGHWAY 151, STE.100
SAN ANTONIO, TX 78251

Bexar County (210) 450-9900

MICHAEL A BARNETT MD PLLC

Internal Medicine (Cardiovascular Disease)

11212 HIGHWAY 151, BLDG 2 SUITE 200
SAN ANTONIO, TX 78251

Bexar County (210) 520-7000

DR. PRISCILLA WANG M.D.

Emergency Medicine

11212 HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

DR. SCOTT LEGGOE D.O.

Family Medicine (Adolescent Medicine)

11212 HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 450-9900

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 Miguel Lopez's NPI number?

The NPI number for Miguel Lopez is 1831228121. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Miguel Lopez located?

Miguel Lopez practices at 11212 Highway 151, San Antonio, TX 78251. The listed phone number is (210) 450-9900.

What is Miguel Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miguel Lopez enrolled in Medicare?

Yes. Miguel Lopez 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.

What insurance does Miguel Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Miguel Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Miguel Lopez affiliated with any hospitals?

According to CMS data, Miguel Lopez is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Lopez was last updated on February 6, 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.