DR. RAYMOND A LOPEZ (M.D.) – Obstetrics & Gynecology Physician, NPI 1083708747
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,756 FAMILY PRACTICE in AL
Provider Addresses for DR. RAYMOND A LOPEZ (M.D.)
3809 Sullivan St
Suite 6-A
Madison, AL 357582372
Phone: (256) 461-4104
Type: Location
16900 NORTH BAY RD 2217
SUNNY ISLES, FL 331606274
Phone: (256) 508-9002
Type: Mailing
3809, Sullivan Street, Madison, Madison County, Alabama, 35758, United States
SUITE 6-A
MADISON, AL 357582372
Phone: (256) 461-4104
Type: Mailing
4064 SW 69TH AVE
MIRAMAR, FL 330236688
Phone: (542) 398-8609
Fax: (954) 239-8847
Type: Location
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: 2021-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100914001059 | I | Obstetrics/Gynecology | AL | TBD |
| I20210810002933 | I | Obstetrics/Gynecology | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35758)
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