Provider Type Icon

DR. ELISA M. MONTROSS-LOPEZ MD.. NPI 1376536623


NPI Information

NPI: 1376536623
Provider Name: DR. ELISA M. MONTROSS-LOPEZ, MD..
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
630 MULBERRY STREET
MILTON, DE
ZIP 19968
Phone: (302) 684-8053
Get Directions

DR. Elisa M. Montross-lopez, MD.. is a family medicine in Milton, DE with 30 years of experience. The provider is 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. DR. Elisa M. Montross-lopez, MD.. NPI is 1376536623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1994

The provider's business location address is:

630 MULBERRY STREET
MILTON, DE
ZIP 19968
Phone: (302) 684-8053
Fax: (302) 684-8059

The NPI 1376536623 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 10/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineC1-0004991DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10002OTHERDELAWARECAREFIRST BCBS DC
2G60873MEDICARE UPINDELAWARE
3951429L19MEDICARE ID-TYPE UNSPECIFIEDDELAWARE
4080107124OTHERDELAWARERAILROAD MEDICARE
515RG73OTHERDELAWAREBLUE CROSS BLUE SHIELD DE
60000821101MEDICAIDDELAWARE
70420453000OTHERDELAWAREAMERIHEALTH
8248021OTHERDELAWAREMAMSI/UNITED HEALTH CARE
9561519MEDICARE PINDELAWARE
105728537OTHERDELAWAREAETNA
1147279OTHERDELAWAREPRINCIPAL HEALTHCARE
1260953701OTHERDELAWARECAREFIRST BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.