JOSE J LOPEZ (M.D.) – Internal Medicine Physician, NPI 1013004886

JOSE J LOPEZ (M.D.) is a healthcare provider. based in Coral gables, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME121566 (FL). The NPI Number for JOSE J LOPEZ (M.D.) is 1013004886

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOSE J LOPEZ (M.D.)
NPI
1013004886
Phone
(305) 447-4150
Address
806 S DOUGLAS RD
Enumeration Date
5 October 2006
Last Update Date
10 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524011000
Graduation Year
2003 (23 years ago)
PAC ID
9931291077
Group Practice PAC ID
4789614785
Professional Enrollment ID
I20151104000573
Address ID
FL344716500OC1431XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for JOSE J LOPEZ (M.D.)

  • 806, Southwest 37th Avenue, Coral Gables, Miami, Miami-Dade County, Florida, 33134, United States

    SUITE 820

    CORAL GABLES, FL 331343157

    Phone: (305) 447-4150

    Fax: (305) 675-8068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($46).

Total Amount

$68

General + Research + Ownership

Payments

3

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-11-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070822000349IInternal MedicinePRTBD
I20151104000573IInternal MedicineFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes248144$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes129129$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4942$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4436$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3720$0
View full utilization report →

Insurance plans in this area (ZIP 33134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789614785View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JOSE J LOPEZ (M.D.) for billing?
Administrative and clinical systems typically use NPI 1013004886 for JOSE J LOPEZ (M.D.).
Quick check: is JOSE J LOPEZ (M.D.) active?
Public NPPES data shows JOSE J LOPEZ (M.D.) with an active NPI status right now.
What type of care does JOSE J LOPEZ (M.D.) provide?
JOSE J LOPEZ (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JOSE J LOPEZ (M.D.) in Coral Gables, Florida?
For routing, start with Coral Gables, Florida for JOSE J LOPEZ (M.D.), then verify phone and hours locally.
Why is information missing for JOSE J LOPEZ (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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