CARLA MELISA LITUMA LOPEZ MD
NPI 1063288934
Internal Medicine in Bristol, CT

Q: What is Carla Lituma Lopez's NPI number?

The NPI number for Carla Lituma Lopez is 1063288934. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Q: What is Carla Lituma Lopez's specialty?

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

Active since November 30, 2023PECOS Enrolled

15 RIVERSIDE AVE, BRISTOL, CT 06010(860) 516-7593(860) 516-7597 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carla Melisa Lituma Lopez Md NPPES

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

CARLA MELISA LITUMA LOPEZ MD (NPI 1063288934) is an individual internal medicine provider in Bristol, Connecticut, licensed in Connecticut (83961) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063288934

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCARLA MELISA LITUMA LOPEZCredential: MD

Location Address15 RIVERSIDE AVEBristol, CT 06010-6312

Mailing Address54 Grant AveStamford, CT 06902-4157 · (203) 952-3839

Phone(860) 516-7593

Fax(860) 516-7597

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 30, 2023

Last NPPES UpdateMay 30, 2026

NPPES CertifiedMay 30, 2026

✔ NPI 1063288934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CT · 83961

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

15 RIVERSIDE AVE, Bristol, CT 06010

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Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7679 · Phone (718) 590-1800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Melisa Lituma Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092272575

PECOS Enrollment IDI20260804004668

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carla Lituma Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bristol Hospital Multi Specialty Group, Inc

Same address

General Practice

15 RIVERSIDE AVE
Bristol, CT 06010

Reassigned Medicare billing, Connecticut enrollment
222 clinicians in this Medicare group

NPI 1649265679 (860) 585-3906

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA ROMIE PA-C

Physician Assistant