Individual provider Active NPI

Carmen Lopez, M.D.

  • Gastroenterology Physician
  • Mobile, AL
National Provider Identifier
1023549839
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
46259 Issued in AL
Practice address
1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416
Phone
(251) 435-1200
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 46259 AL Primary

Addresses

Primary practice location

1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416

Mailing address

1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1416
Phone (251) 435-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728001964 AL Practitioner - Gastroenterology 5597159491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 759-2920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy159
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46259ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G I Associates of West Alabama PC Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
G I Associates of West Alabama PC CurrentSince Jul 1, 2024 Accepting new patients
The DCH Health Care Authority CurrentSince Jul 16, 2024 Accepting new patients
The DCH Healthcare Authority CurrentSince Jul 16, 2024 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Aug 31, 2023 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Gastroenterology CurrentSince Aug 31, 2023 Accepting new patients

Locations

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

301 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 750-0022

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1774 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 759-2920

Interoperability endpoints

  • Direct secure messaging: clopez162893@directinfirmaryhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1023549839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041416",
            "telephone_number": "251-435-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SPRING HILL AVE STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041416",
            "telephone_number": "251-435-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARMEN",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "46259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.