STEPHANIE PAIGE LOPEZ ORIZONDO (MD) – Internal Medicine Physician, NPI 1124604053

STEPHANIE PAIGE LOPEZ ORIZONDO (MD) is a healthcare provider. based in Orlando, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME169036 (FL). The NPI Number for STEPHANIE PAIGE LOPEZ ORIZONDO (MD) is 1124604053

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE PAIGE LOPEZ ORIZONDO (MD)
NPI
1124604053
Phone
(833) 663-6331
Address
10129 CLEAR VISTA ST
Enumeration Date
22 March 2021
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703125226
Graduation Year
2019 (7 years ago)
PAC ID
1951835222
Group Practice PAC ID
3173965993
Professional Enrollment ID
I20241108001206
Address ID
FL328327164OR10129STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for STEPHANIE PAIGE LOPEZ ORIZONDO (MD)

  • 10129 CLEAR VISTA ST

    ORLANDO, FL 328327164

    Phone: (833) 663-6331

    Fax: (833) 673-0418

    Type: Location

  • 720 W OAK ST STE 201

    KISSIMMEE, FL 347414998

    Phone: (407) 518-2772

    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: 2024-11-08

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
I20241108001206IInternal 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32832)

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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: 3173965993View full group profile
NameSpecialtyState
Nurse PractitionerFL
E N D O C R I N O L O G YFL
Physical Therapist In Private PracticeIL
Family PracticeFL
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Internal MedicineFL
Family PracticeFL
Family Practice, HospitalistFL

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANIE PAIGE LOPEZ ORIZONDO (MD)?
NPI 1124604053 is assigned to STEPHANIE PAIGE LOPEZ ORIZONDO (MD) under the national enumeration system.
Does this profile mean STEPHANIE PAIGE LOPEZ ORIZONDO (MD) is currently active?
Yes — STEPHANIE PAIGE LOPEZ ORIZONDO (MD) appears active in the national provider directory.
Does STEPHANIE PAIGE LOPEZ ORIZONDO (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for STEPHANIE PAIGE LOPEZ ORIZONDO (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE PAIGE LOPEZ ORIZONDO (MD)?
The page summarizes Orlando, Florida for STEPHANIE PAIGE LOPEZ ORIZONDO (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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