DR. ILEANA LOPEZ PLAZA (MD) – Clinical Pathology/Laboratory Medicine Physician, NPI 1396727715

DR. ILEANA LOPEZ PLAZA (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 221290 (MA). The NPI Number for DR. ILEANA LOPEZ PLAZA (MD) is 1396727715

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. ILEANA LOPEZ PLAZA (MD)
NPI
1396727715
Phone
(617) 636-5842
Address
750 WASHINGTON ST #826
Enumeration Date
20 November 2005
Deactivation Date
17 July 2007
Reactivation Date
31 July 2007
Last Update Date
31 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
1985 (41 years ago)
PAC ID
0143292045
Group Practice PAC ID
6406953439
Professional Enrollment ID
I20081027000793
Address ID
MI482022608DE2799XBLVD400
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

799 PATHOLOGY in MA

Provider Addresses for DR. ILEANA LOPEZ PLAZA (MD)

  • 750 WASHINGTON ST #826

    BOSTON, MA 02111

    Phone: (617) 636-5842

    Fax: (617) 636-3175

    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 17 Open Payments records for all available years, with a total value of $3,370.

Total Amount is formed as General ($3,370) + Research ($0) + Ownership ($0) = $3,370.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Cerus Corporation ($3,081).

Total Amount

$3,370

General + Research + Ownership

Payments

17

Total payment records

General Amount

$3,370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-10-27

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
I20081027000793IPathologyMITBD

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
85390Coagulation function screening test with interpretation and report9285$0
86078Blood bank physician services for investigation of transfusion reaction with written report1413$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 6406953439View full group profile
NameSpecialtyState
P A T H O L O G YMI
-MI
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI
D E R M A T O L O G YMI
P A T H O L O G YOK
P A T H O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ILEANA LOPEZ PLAZA (MD)?
NPI 1396727715 is assigned to DR. ILEANA LOPEZ PLAZA (MD) under the national enumeration system.
Is DR. ILEANA LOPEZ PLAZA (MD)'s NPI currently valid?
The extract we use shows DR. ILEANA LOPEZ PLAZA (MD) as active.
What does DR. ILEANA LOPEZ PLAZA (MD) treat or focus on?
Patients typically see DR. ILEANA LOPEZ PLAZA (MD) under the specialty Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. ILEANA LOPEZ PLAZA (MD) practice in Massachusetts?
You will see Boston, Massachusetts on file for DR. ILEANA LOPEZ PLAZA (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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