Active NPI
Carla Melisa Lituma Lopez, MD
- Internal Medicine Physician
- Bristol, CT
National Provider Identifier
1063288934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 83961
- Practice address
- 15 Riverside Ave
Bristol, CT 06010-6312 - Phone
- (860) 516-7593
- Fax
- (860) 516-7597
- NPI assigned
- Nov 30, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 83961 | CT | Primary |
Addresses
Primary practice location
15 Riverside Ave
Bristol, CT 06010-6312
Mailing address
54 Grant Ave
Stamford, CT 06902-4157
Phone (203) 952-3839
Other practice location 1
1650 Grand Concourse
Bronx, NY 10457-7679
Phone (718) 590-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Bristol, CT 06011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83961 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1063288934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 GRANT AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024157",
"telephone_number": "203-952-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 RIVERSIDE AVE",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106312",
"telephone_number": "860-516-7593",
"fax_number": "860-516-7597"
}
],
"practiceLocations": [
{
"address_1": "1650 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104577679",
"country_code": "US",
"telephone_number": "718-590-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITUMA LOPEZ",
"first_name": "CARLA",
"middle_name": "MELISA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "83961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.