DR. IVELISSE LOPEZ (M.D.) – Gastroenterology Physician, NPI 1316913171

DR. IVELISSE LOPEZ (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME82595 (FL). The NPI Number for DR. IVELISSE LOPEZ (M.D.) is 1316913171

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVELISSE LOPEZ (M.D.)
NPI
1316913171
Phone
(407) 843-0443
Address
2880 S OSCEOLA AVE
Enumeration Date
23 February 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
2292282000
Graduation Year
1995 (31 years ago)
PAC ID
6800830050
Group Practice PAC ID
8123196383
Professional Enrollment ID
I20241112000225
Address ID
GA317926614TH915XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,475 GASTROENTEROLOGY in FL

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Provider Addresses for DR. IVELISSE LOPEZ (M.D.)

  • 2880, Osceola Avenue, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328065431

    Phone: (407) 843-0443

    Fax: (407) 843-0442

    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 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Olympus America Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Olympus America Inc.$28
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: 2024-11-12

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
I20050617000587IGastroenterologyFLTBD
I20241112000225IGastroenterologyGATBD

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 32806)

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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: 8123196383View full group profile
NameSpecialtyState
-GA
Family PracticeGA
H E M A T O L O G Y/ O N C O L O G YGA
-GA
-GA
-GA
Nurse PractitionerGA
General SurgeryGA
Nurse PractitionerFL
Gastroenterology, Internal MedicineNY

Reviews

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Frequently asked questions

What is DR. IVELISSE LOPEZ (M.D.)'s NPI number?
DR. IVELISSE LOPEZ (M.D.)'s NPI is 1316913171 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. IVELISSE LOPEZ (M.D.)?
You should see DR. IVELISSE LOPEZ (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. IVELISSE LOPEZ (M.D.)?
At a glance, DR. IVELISSE LOPEZ (M.D.) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. IVELISSE LOPEZ (M.D.)?
Travel planning: use Orlando, Florida as the reference point for DR. IVELISSE LOPEZ (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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