Individual provider Active NPI

Sandra Maria Pizarro Lopez, M.D

  • Pediatrics Physician
  • Melbourne, FL
National Provider Identifier
1568659514
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME128913 Issued in FL
Practice address
1350 Hickory St
Melbourne, FL 32901-3224
Phone
(407) 975-0412
Fax
(407) 975-0413
NPI assigned
Oct 3, 2007
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME128913 FL Primary
Pediatrics Physician 208000000X A97028 CA
Pediatrics Physician 208000000X 17135 PR
Hospitalist Physician 208M00000X ME128913 FL

Addresses

Primary practice location

1350 Hickory St
Melbourne, FL 32901-3224

Mailing address

1801 Lee Rd Ste 165
Winter Park, FL 32789-2127
Phone (407) 975-0412

Other identifiers 1

IdentifierTypeStateIssuer
018562800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160927002436 FL Practitioner - Pediatric Medicine 8224113352 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128913FLMDPediatrics Physician
17135PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc Current Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Aug 22, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 22, 2016 Accepting new patients
Omni Healthcare, Inc. Pediatrics PastSince Nov 1, 2004 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1801 Lee Rd
Ste 165
Winter Park, FL 32789
Phone (407) 975-0406

Interoperability endpoints

  • Direct secure messaging: sandrapizarrolopez@ohi.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1568659514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 165",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892127",
            "telephone_number": "407-975-0412",
            "fax_number": "407-975-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "407-975-0412",
            "fax_number": "407-975-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZARRO LOPEZ",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128913",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97028",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "17135",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME128913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018562800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.