DIEGO B LOPEZ-GONZALEZ (MD, MPH) – Diagnostic Radiology Physician, NPI 1134680812
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,952 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DIEGO B LOPEZ-GONZALEZ (MD, MPH)
3611 WASHINGTON ST UNIT B313
JAMAICA PLAIN, MA 021302953
Phone: (857) 999-1035
Type: Location
55 FRUIT ST
BOSTON, MA 021142621
Phone: (857) 999-1035
Type: Mailing
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.
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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: 2025-01-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240622000311 | I | Diagnostic Radiology | MA | TBD |
| I20250102000029 | I | Diagnostic Radiology | PR | TBD |
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.
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 02130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | PR | |
| General Practice, Diagnostic Radiology, Diagnostic Radiology | MA | |
| Diagnostic Radiology | PR | |
| Diagnostic Radiology, Pediatric Medicine | PR | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | PR | |
| Pain Management, Peripheral Vascular Disease, Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | PR | |
| Diagnostic Radiology | AK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PR |
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