Individual provider Active NPI

Marvin A Lopez Medal, M.D

  • Internal Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1801158969
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME123271 Issued in FL
Practice address
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone
(877) 832-2652
Fax
(800) 792-9021
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 ME123271 FL Primary

Addresses

Primary practice location

13001 Southern Blvd
Loxahatchee, FL 33470-9203

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (877) 832-2652

Other practice location 1

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (877) 832-2652

Other practice location 2

3476 S University Dr
Davie, FL 33328-2000
Phone (877) 832-2652

Other practice location 3

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (877) 832-2652

Other practice location 4

7201 N University Dr
Tamarac, FL 33321-2913
Phone (877) 832-2652

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
I20150806010915 FL Practitioner - Internal MedicinePractitioner - Hospitalist 5193039923 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 476-3911

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123271FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
HHA Associates LLC CurrentSince Dec 1, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Eastside Hospitalists Inc CurrentSince Mar 1, 2023 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
North Broward Hospitalist Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

3100 E Fletcher Ave
#C
Tampa, FL 33613

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1801158969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 SOUTHERN BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709203",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621149",
            "country_code": "US",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3476 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282000",
            "country_code": "US",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212913",
            "country_code": "US",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ MEDAL",
        "first_name": "MARVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.