Active NPI
G. Michael Lopez, M.D.
- Internal Medicine Physician
- Las Vegas, NM
National Provider Identifier
1003973397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NM81-77
- Practice address
- 105 Mills Ave Ste 300
Las Vegas, NM 87701-4169 - Phone
- (505) 425-9311
- Fax
- (505) 425-9047
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CNP-01651 | NM | |
| Internal Medicine Physician | 207R00000X | NM81-77 | NM | Primary |
Addresses
Primary practice location
105 Mills Ave Ste 300
Las Vegas, NM 87701-4169
Mailing address
105 Mills Ave Ste 300
Las Vegas, NM 87701-4169
Phone (505) 425-9311
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM001568 | Other | NM | BLUE CROSS BLUE SHIELD |
| NM00007070 | Medicaid | NM | |
| 1991 | Other | NM | LOVELACE |
| 50013 | Other | NM | HMO OF NEW MEXICO |
| 201006000 | Other | NM | PRESBYTERIAN HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110207000751 | NM | Practitioner - Internal Medicine | 3678753779 | Practice locations: Las Vegas, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Stanford University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
105 Mills Ave
Las Vegas, NM 87701-4169
Hospital & facility affiliations
- Ambercare Home Health
- Professional Home Health Care, Inc.
- Christus St Vincent Regional Medical Center
- Alta Vista Regional Hospital
- Lovelace Women'S Hospital
- La Vida Buena Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 96.18
- Improvement activities
- 40
- Cost
- 83.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM81-77 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Vida Buena Healthcare LLC | Past | Accepting new patients | |
| G Michael Lopez | Internal Medicine | Past | Accepting new patients |
| G Michael Lopez, M.D. | Past | Accepting new patients |
Interoperability endpoints
- mlopez05@yourcarecommunity.org
- https://api.platform.athenahealth.com/8441/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NM
- NPI 1891925848
-
- Nurse Practitioner
- Las Vegas, NM
- NPI 1912337353
-
- Skilled Nursing Facility
- Las Vegas, NM
- NPI 1891482683
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
- Home Health Agency
- Santa Fe, NM
- NPI 1508057209
-
- Critical Access Hospital
- Las Vegas, NM
- NPI 1114639234
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1003973397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MILLS AVE STE 300",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014169",
"telephone_number": "505-425-9311",
"fax_number": "505-425-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MILLS AVE STE 300",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014169",
"telephone_number": "505-425-9311",
"fax_number": "505-425-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "G. MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NM",
"license": "CNP-01651",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "NM81-77",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM001568",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NM00007070",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "1991",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO OF NEW MEXICO",
"identifier": "50013",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201006000",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.