BERTHA A LOPEZ (MD) – Obstetrics & Gynecology Physician, NPI 1578582979

BERTHA A LOPEZ (MD) is a healthcare provider. based in Oak park, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036090643 (IL). The NPI Number for BERTHA A LOPEZ (MD) is 1578582979

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
BERTHA A LOPEZ (MD)
NPI
1578582979
Phone
(708) 386-1390
Address
1 ERIE CT
Enumeration Date
18 July 2006
Last Update Date
31 December 2019

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7735370020
Graduation Year
1992 (34 years ago)
PAC ID
0446152961
Group Practice PAC ID
1557270139
Professional Enrollment ID
I20040124000251
Address ID
IL603022510OA1XXXXCTXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for BERTHA A LOPEZ (MD)

  • Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States

    6040

    OAK PARK, IL 603022566

    Phone: (708) 386-1390

    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)

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: 2004-01-24

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
I20040124000251IObstetrics/GynecologyILTBD

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
81002Urinalysis, manual test1811$0
View full utilization report →

Insurance plans in this area (ZIP 60302)

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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: 1557270139View full group profile
NameSpecialtyState
Family PracticeIL
-IL
Clinical Social WorkerIL
Family PracticeIL
-IL
Hospitalist, Family PracticeIL
-IL
Family PracticeIL
Nurse PractitionerIL
Family PracticeMI

Reviews

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Frequently asked questions

Can I verify BERTHA A LOPEZ (MD) with an NPI only?
You can start verification with NPI 1578582979 for BERTHA A LOPEZ (MD), then check state licensing separately.
Is BERTHA A LOPEZ (MD) still practicing?
BERTHA A LOPEZ (MD) is currently listed as active in the public NPI registry.
What is BERTHA A LOPEZ (MD)'s specialty?
The listing groups BERTHA A LOPEZ (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does BERTHA A LOPEZ (MD) list a practice location?
Patients near Oak Park, Illinois may find BERTHA A LOPEZ (MD) in results; validate coverage separately.
Why does BERTHA A LOPEZ (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Unknown Individual

Family Medicine Physician
Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States
NPI: 1043398852