Individual provider Active NPI

Evita Lopez

  • Internal Medicine Physician
  • Albany, OR
National Provider Identifier
1194125732
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R2160 Issued in TX
Practice address
1046 6TH Ave SW
Albany, OR 97321-1916
Phone
(541) 812-4000
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R2160 TX
Internal Medicine Physician 207R00000X DO190984 OR
Internal Medicine Physician 207R00000X O-1442 ID
Internal Medicine Physician 207R00000X OP61183753 WA
General Practice Physician 208D00000X R2160 TX
Internal Medicine Physician 207R00000X R2160 TX Primary

Addresses

Primary practice location

1046 6TH Ave SW
Albany, OR 97321-1916

Mailing address

PO Box 1188
Corvallis, OR 97339-1188

Other practice location 1

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

Other identifiers 1

IdentifierTypeStateIssuer
P02607793OtherTXRR MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20170918001647 TX Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Emergency Medicine 6002187895 Reassigns benefits to 4 organizations
I20211112002171 WA Practitioner - Internal MedicinePractitioner - Hospitalist 6002187895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307

1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-3727

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 482-0111

Hospital & facility affiliations

  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Oct 4, 2024 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Mar 9, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 3, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Mar 9, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 2, 2018 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 2, 2018 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Feb 3, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Peacehealth Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: elopez544541@direct.peacehealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1194125732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EVITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R2160",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO190984",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-1442",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61183753",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R2160",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R2160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P02607793",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.