ALWIN HEBER LOPEZ-TORO
NPI 1962820506
Internal Medicine - Nephrology in San Antonio, TX

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
1123 N MAIN AVE STE 120, SAN ANTONIO, TX 78212(210) 226-2001(210) 616-0705 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 13, 2025, Jul 19, 2019, Mar 2, 2018 (3 updates tracked since 2018).

About Alwin Heber Lopez-toro NPPES

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

ALWIN HEBER LOPEZ-TORO (NPI 1962820506) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (R9247) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962820506
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameALWIN HEBER LOPEZ-TORO
Location Address1123 N MAIN AVE STE 120San Antonio, TX 78212-4738
Mailing Address16620 N Us Highway 281 Ste 300San Antonio, TX 78232-2679 · (210) 614-1231 · Fax (210) 616-0704
Fax(210) 616-0705
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
NPI 1962820506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · R9247
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License BP10058787 (TX)
1123 N MAIN AVE STE 120, San Antonio, TX 78212

Accepted 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

Alwin Heber Lopez-toro 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 ID345506721
PECOS Enrollment IDI20190418000362
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
413 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services71 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
148 services31 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
120 services21 patients
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.
112 services61 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
59 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Specialist (Research Study)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Nurse Practitioner (Family)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212
Internal Medicine (Nephrology)
1123 N MAIN AVE STE 120
SAN ANTONIO, TX 78212

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 Alwin Lopez-toro's NPI number?

The NPI number for Alwin Lopez-toro is 1962820506. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Alwin Lopez-toro located?

Alwin Lopez-toro practices at 1123 N Main Ave Ste 120, San Antonio, TX 78212. The listed phone number is (210) 226-2001.

What is Alwin Lopez-toro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alwin Lopez-toro enrolled in Medicare?

Yes. Alwin Lopez-toro 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 Alwin Lopez-toro 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 8 other insurers list Alwin Lopez-toro 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 Alwin Lopez-toro affiliated with any hospitals?

According to CMS data, Alwin Lopez-toro is affiliated with Baptist Medical Center and Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Alwin Lopez-toro was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.