Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Sebastian Ibarra Lopez, MD

Individual provider Internal Medicine Physician · NPI 1417577057

Jose Sebastian Ibarra Lopez, MD is an Internal Medicine in New York, New York. Qualified in 2013, 13 years ago. Practices with Southeastern Hospitalist Services PC, a 307-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
13
Licensed in
KY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 1st Ave
New York, NY 10016-6402
Phone: (212) 263-5506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 58030 (KY)

Record details

NPI number1417577057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESSeptember 1, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southeastern Hospitalist Services Pc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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