DOLORES HILDEGARD LOPEZ-TERRADA MD PHD
NPI 1255388112
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

NPI Status: Active since May 27, 2006

Contact Information

6621 FANNIN STREET
HOUSTON, TX
ZIP 77030
Phone: (832) 824-1866
Fax: (832) 825-1032

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  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • PECOS Enrolled

About DOLORES LOPEZ-TERRADA

This page provides the complete NPI Profile along with additional information for Dolores Lopez-terrada, a provider established in Houston, Texas with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1255388112 assigned on May 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number K9336 (TX). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1255388112
Provider Name
DOLORES HILDEGARD LOPEZ-TERRADA MD PHD
Gender
Female
Entity Type
Individual
Location Address
6621 FANNIN STREET HOUSTON, TX 77030
Location Phone
(832) 824-1866
Location Fax
(832) 825-1032
Mailing Address
PO BOX 741169 HOUSTON, TX 77274
Mailing Phone
(832) 824-1866
Mailing Fax
(832) 825-1032
Is Sole Proprietor?
No
Enumeration Date
05-27-2006
Last Update Date
11-01-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
K9336
License State
TX
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H12382MEDICARE UPIN (02) 
8038J1MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

Dolores Lopez-terrada is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77030 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.06
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $33.51
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.71
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $25.67
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DOLORES HILDEGARD LOPEZ-TERRADA MD PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255388112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105681612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 8 + 1 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255388112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679529580 MARY VICTORIA GRESIK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1841246709 MILTON JOSEPH FINEGOLD MD
Individual
Pathology (Pediatric Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1164479010 MEENAKSHI BIDWAI BHATTACHARJEE MD
Individual
Pathology (Anatomic Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1790732659 EDWINA JANE POPEK DO
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1922048925 DEBRA LYNN KEARNEY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1477593499 CLAIRE LANGSTON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1467523886DR. MOHAMED TAREK ELGHETANY M.D.
Individual
Pathology (Hematology)6621 FANNIN STREET TEXAS CHILDREN'S HOSPITAL DEPARTMENT OF PATHOLOGY
HOUSTON, TX 77030
(832) 824-5122
1841405925MRS. DANIELA DINU M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)6621 FANNIN STREET MC WT 6--104
HOUSTON, TX 77030
(883) 282-6138
1205910486 ANDREA NICOLE MARCOGLIESE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1866
1740510346MRS. MARGARET E BOSWELL RD, LD, CDE, MPH
Individual
Dietitian, Registered6621 FANNIN STREET
HOUSTON, TX 77030
(832) 828-3155
1558696773MS. RACHEL E BONCZEK CPNP-AC/PC
Individual
Nurse Practitioner (Pediatrics)6621 FANNIN STREET TEXAS CHILDREN'S HOSPITAL EMERGENCY CENTER
HOUSTON, TX 77030
(832) 227-1000
1114432093 RAJAT KALRA MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)6621 FANNIN STREET WT-19345H
HOUSTON, TX 77030
(832) 826-1929
1215028402DR. MICHIAKI IMAMURA MD, PHD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)6621 FANNIN STREET WT-19345H
HOUSTON, TX 77030
(832) 826-1929
1821566225 CATHERINE WHELESS MOT, OTR/L, CBIS
Individual
Occupational Therapist6621 FANNIN STREET WEST TOWER 21ST FLOOR
HOUSTON, TX 77030
(832) 826-2121
1922374495DR. CRAIG BELON MD, PHD
Individual
Anesthesiology (Pediatric Anesthesiology)6621 FANNIN STREET TEXAS CHILDREN'S HOSPITAL DEPARTMENT OF ANESTHESIOLOGY
HOUSTON, TX 77030
(832) 824-5800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255388112, enumerated in the NPI registry as an "individual" on May 27, 2006

The provider is located at 6621 Fannin Street Houston, Tx 77030 and the phone number is (832) 824-1866

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $134.06 with an average copayment of $33.51 for new patient appointments. Established patients should expect a typical charge of $102.71 and an average copayment of 25.67. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.