Carlos Alberto Lopez, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME107663 Issued in FL

Practice address

680 Peachwood Dr
Deland, FL 32720-0902

Phone

(386) 943-7160

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, FL2 enrollments

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 2

Specialty

Radiation Oncology

Education

New York University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: clopez238718@adventhealth.direct-ci.com

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.

• Florida Hospital Medical Group Inc

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1073785044

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Florida Radiology Imaging at Lake Mary, LLC

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1740256494
  Medicare reassignment NPD
• Optum Medical Group Rhodes P C

  • Specialist
  • Las Vegas, NV
  • NPI 1063458594
  Medicare reassignment NPD
• Florida Radiology Imaging at Lake Mary LLC

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1942389747
  NPD
• Optum Medical Group Rhodes P C

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1225609464
  NPD
• Cancer Services of Aventura LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1790973063
  NPD (past)
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  NPD (past)
• Associated Radiation Oncologists

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1669671855
  NPD (past)
• Susan Reisinger, MD Prof. Corp.

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1295703346
  NPD (past)

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

• Memorial Health Systems Inc

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1063531473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 182",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044675",
            "telephone_number": "407-303-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PEACHWOOD DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200902",
            "telephone_number": "386-943-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 S Tonopah Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064029",
            "country_code": "US",
            "telephone_number": "702-463-9100",
            "fax_number": "702-685-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044603",
            "country_code": "US",
            "telephone_number": "407-303-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "12274",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME107663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063531473",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Logan
• Angela Longacre
• Hope Longenecker, RMHCI
• Susan B Loomis, RN
• Halayla B Lopez Gomez, APRN, FNP-BC
• Jesus B Lopez, M.D.
• Selena Lopez
• Yolanda Lopez
• Carlie Anne Lorentz, D.C.
• Love Your Neighbor As Yourself, LLC

• Radiation Oncology Physician in Deland, FL
• Providers in Deland, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.

Verify at the official NPI Registry.