MARISA P LOPEZ (MD) – Neurology Physician, NPI 1770538605

MARISA P LOPEZ (MD) is a healthcare provider. based in Medley, Florida. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. ME90785 (FL). The NPI Number for MARISA P LOPEZ (MD) is 1770538605

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MARISA P LOPEZ (MD)
NPI
1770538605
Phone
(786) 924-1311
Address
9960 NW 116TH WAY STE 13
Enumeration Date
22 May 2006
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724490540
Graduation Year
1996 (30 years ago)
PAC ID
8527035120
Group Practice PAC ID
7810204831
Professional Enrollment ID
I20250424000302
Address ID
VA201863027WA500XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,847 NEUROLOGY in FL

Provider Addresses for MARISA P LOPEZ (MD)

  • Northwest 116th Way, Hialeah Gardens, Medley, Miami-Dade County, Florida, 33178, United States

    MEDLEY, FL 331781175

    Phone: (786) 924-1311

    Fax: (786) 924-1313

    Type: Mailing

  • 1330 SE 4TH AVE STE J

    FORT LAUDERDALE, FL 33316

    Phone: (954) 620-3307

    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: 2025-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 14 Medicare enrollment records; no due dates published yet.

Enrollment records

14

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
I20040914000143INeurologyFLTBD
I20250326001071INeurologyNMTBD
I20250326001480INeurologyMATBD
I20250326002494INeurologyRITBD
I20250326003065INeurologyVTTBD
I20250327000446INeurologyMETBD
I20250327000946INeurologyNHTBD
I20250327002331INeurologyOHTBD
I20250328002656INeurologyGATBD
I20250401001250INeurologyTNTBD
I20250402001401INeurologyMOTBD
I20250414001414INeurologyMITBD
I20250424000302INeurologyVATBD
I20250502000059INeurologyNYTBD

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
G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth119119$0
G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth7070$0
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth1212$0
View full utilization report →

Insurance plans in this area (ZIP 33178)

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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: 7810204831View full group profile
NameSpecialtyState
Nurse PractitionerTN
Infectious Disease, Internal MedicinePA
P S Y C H I A T R YCA
N E U R O L O G YTX
Internal Medicine, NephrologyWI
Internal MedicineTX
-NY
-SC
Hospitalist, Internal Medicine, Pulmonary DiseaseSC
Internal Medicine, HospitalistNE

Reviews

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Frequently asked questions

What identifier follows MARISA P LOPEZ (MD) across health systems?
The NPI 1770538605 uniquely identifies MARISA P LOPEZ (MD) in U.S. healthcare data.
Is MARISA P LOPEZ (MD)'s NPI status active today?
Active status means MARISA P LOPEZ (MD)'s NPI record is not deactivated in the public file.
How should patients interpret MARISA P LOPEZ (MD)'s specialty?
The extract shows Neurology Physician for MARISA P LOPEZ (MD). Clinical services aligned with this taxonomy classification.
What city is tied to MARISA P LOPEZ (MD)?
The directory associates MARISA P LOPEZ (MD) with Medley, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for MARISA P LOPEZ (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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