JOSE EDUARDO OSORIO-LOPEZ (PA-C) – Physician Assistant, NPI 1720090061

JOSE EDUARDO OSORIO-LOPEZ (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9101902 (FL). The NPI Number for JOSE EDUARDO OSORIO-LOPEZ (PA-C) is 1720090061

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOSE EDUARDO OSORIO-LOPEZ (PA-C)
NPI
1720090061
Phone
(813) 259-0929
Address
12901 BRUCE B DOWNS BLVD
Enumeration Date
13 August 2006
Last Update Date
30 January 2023

Doctor Profile

Medical School Name
BARNES MEDICAL COLLEGE
Secondary Phone
8136410007
Graduation Year
2003 (23 years ago)
PAC ID
0345371894
Group Practice PAC ID
2466887104
Professional Enrollment ID
I20100626000352
Address ID
FL335721806AP6150X41XX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for JOSE EDUARDO OSORIO-LOPEZ (PA-C)

  • Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 336124742

    Phone: (813) 259-0929

    Type: Location

  • 2370 CORPORATE CIR

    STE 300

    HENDERSON, NV 890747760

    Phone: (702) 910-3950

    Type: Mailing

  • 6150 N US HIGHWAY 41

    APOLLO BEACH, FL 335721806

    Phone: (813) 641-0007

    Fax: (813) 641-0009

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328917770

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100626000352IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4425$0
99213Established patient office or other outpatient visit, 20-29 minutes2814$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
View full utilization report →

Insurance plans in this area (ZIP 33612)

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Reviews

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Frequently asked questions

Can I cross-check JOSE EDUARDO OSORIO-LOPEZ (PA-C) using NPI 1720090061?
NPI 1720090061 belongs to JOSE EDUARDO OSORIO-LOPEZ (PA-C); compare other details if you need extra assurance.
Is there an active status for JOSE EDUARDO OSORIO-LOPEZ (PA-C)?
For scheduling context, JOSE EDUARDO OSORIO-LOPEZ (PA-C) is shown as active in the registry.
What clinical focus is listed for JOSE EDUARDO OSORIO-LOPEZ (PA-C)?
At a glance, JOSE EDUARDO OSORIO-LOPEZ (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JOSE EDUARDO OSORIO-LOPEZ (PA-C) associated with Tampa?
Public fields place JOSE EDUARDO OSORIO-LOPEZ (PA-C) around Tampa, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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