Maria Fernanda Lopez-Bermejo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.011758 Issued in IL

Practice address

7047 North Ave
Oak Park, IL 60302-1015

Phone

(773) 303-7505

NPI assigned

Oct 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlopezbermejo439499@direct.myadvocateaurora.org

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.

• Hermes Health SC

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1902236722

  Multi-Specialty

  Medicare reassignment NPD
• Dynamic Physical Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1962974824
  Care Compare group
• Academic & Clinical Associates in Dermatology LTD

  • Dermatology Physician
  • Oak Park, IL
  • NPI 1497972418

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1407723935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ROLLING GREEN CIR N",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091262",
            "telephone_number": "248-214-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021015",
            "telephone_number": "773-303-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-BERMEJO",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Longinotti, D.C.
• Susan Longley
• Look Psychological Services
• Christine Look, PHD
• Jessica Marlene Lopez Garcia
• Bertha A Lopez, MD
• Emily Lopez, MA, LPC
• Isaac Lopez, LCSW
• Melanie Lopez
• Joseph Michael Nishimoto Lorenzo

• Physician Assistant in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.