Active NPI
Matthew Lopez, AUD
- Audiologist
- Rockville, MD
National Provider Identifier
1275405201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01731
- Practice address
- 11300 Rockville Pike Ste 105
Rockville, MD 20852-3042 - Phone
- (240) 477-1010
- Fax
- (240) 477-1012
- NPI assigned
- Sep 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01731 | MD | Primary |
Addresses
Primary practice location
11300 Rockville Pike Ste 105
Rockville, MD 20852-3042
Mailing address
11418 Rockville Pike Apt 2104
Rockville, MD 20852-6007
Phone (240) 477-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260317004595 | DC | Practitioner - Qualified Audiologist | 2567946627 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11300 Rockville Pike
Suite 105
Rockville, MD 20852-3000
11418 Rockville Pike
Apt 2104
Rockville, MD 20852-6007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01731 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Audiology LLC | Audiologist | Current | Accepting new patients |
Locations
11300 Rockville Pike
Ste 105
Rockville, MD 20852
Phone (240) 477-1010
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1275405201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11418 ROCKVILLE PIKE APT 2104",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208526007",
"telephone_number": "240-477-1010",
"fax_number": "240-477-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 ROCKVILLE PIKE STE 105",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523042",
"telephone_number": "240-477-1010",
"fax_number": "240-477-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MATTHEW",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.