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GLENDA LOPEZ-BLAZA MD, LLC
NPI 1033162169
Internal Medicine in Dayton, OH

Active since May 18, 2006CLIA 36D1008590 · Microscopy
8710 N DIXIE DR, DAYTON, OH 45414(937) 415-0501(937) 415-0520 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Glenda Lopez-blaza Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDA LOPEZ-BLAZA MD, LLC (NPI 1033162169) is a healthcare organization registered as an internal medicine in Dayton, Ohio and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through January 23, 2027 and lists Glenda Joy Lopez-blaza, Owner, as its authorized official.

NPPES Registry Identity

NPI1033162169
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGLENDA LOPEZ-BLAZA MD, LLC
Location Address8710 N DIXIE DRDayton, OH 45414-2406
Mailing Address8710 N Dixie DrDayton, OH 45414-2406 · (937) 415-0501 · Fax (937) 415-0520
Phone(937) 415-0501
Fax(937) 415-0520
Organization SubpartNo
Authorized OfficialGlenda Joy Lopez-blazaOwner · (937) 415-0501
Enumeration DateMay 18, 2006
Last NPPES UpdateJune 20, 2011
✔ NPI 1033162169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8710 N DIXIE DR, Dayton, OH 45414
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Other Identifiers 4

Medicare PINDP2526OH
Medicare PIN9332091OH
Medicaid0983002OH
Medicaid2988272OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenda Lopez-blaza Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glenda Lopez-Blaza MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glenda Lopez-Blaza, M.D.
Internal Medicine
NPI 1356333967
8710 N DIXIE DR
Dayton, OH 45414
(937) 415-0501
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1008590

Glenda Lopez-Blaza MD · Dayton, OH
Active · expires Jan 23, 2027
CLIA Number36D1008590
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorGlenda J. Lopez-Blaza MD
Laboratory Phone(937) 415-0501
Laboratory LocationGlenda Lopez-Blaza MD8710 North Dixie Drive, Dayton, OH 45414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenda Lopez-Blaza MD, LLC's NPI number?

The NPI number for Glenda Lopez-Blaza MD, LLC is 1033162169. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Glenda Lopez-Blaza MD, LLC located?

Glenda Lopez-Blaza MD, LLC is located at 8710 N Dixie Dr, Dayton, OH 45414. The listed phone number is (937) 415-0501.

What is Glenda Lopez-Blaza MD, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glenda Lopez-Blaza MD, LLC enrolled in Medicare?

Yes. Glenda Lopez-Blaza MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glenda Lopez-Blaza MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Glenda Lopez-Blaza MD, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glenda Lopez-Blaza MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1008590) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glenda Lopez-Blaza MD, LLC was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.