Individual provider Active NPI

Marcos Lima Lopez, MD

  • Internal Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1629429808
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME142303 Issued in FL
Practice address
1431 NE 162ND St
North Miami Beach, FL 33162-4620
Phone
(305) 949-0999
Fax
(305) 748-6282
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME142303 FL Primary

Addresses

Primary practice location

1431 NE 162ND St
North Miami Beach, FL 33162-4620

Mailing address

1431 NE 162ND St
North Miami Beach, FL 33162-4620
Phone (305) 949-0999

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
I20191125002355 FL Practitioner - Internal Medicine 4486087897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Neighborhood Medical Centers of South Florida, LLCGroup PAC ID 2860623436, 37 clinicians

Practice addresses (Care Compare)

1431 NE 162ND St
North Miami Beach, FL 33162-4620
Phone (305) 949-0999

20801 NW 2ND Ave
Miami Gardens, FL 33169-2103
Phone (305) 653-1770

National Provider Directory

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

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1629429808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 NE 162ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624620",
            "telephone_number": "305-949-0999",
            "fax_number": "305-748-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NE 162ND ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624620",
            "telephone_number": "305-949-0999",
            "fax_number": "305-748-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA LOPEZ",
        "first_name": "MARCOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME142303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.