LORENA A LOPEZ MD
NPI 1164042289
Internal Medicine - Rheumatology in South Miami, FL
About Lorena A Lopez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORENA A LOPEZ MD (NPI 1164042289) is an individual rheumatology provider in South Miami, Florida, licensed in Florida (ME161559) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lorena A Lopez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lorena Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prestonsburg, KY 41653
- Reassigned Medicare billing, Kentucky enrollment
- 531 clinicians in this Medicare group
Newark, OH 43055
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Licking Memorial Health Professionals
- 280 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYLicking Memorial Hospital
Acute Care Hospitals · Newark, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
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 Lorena Lopez's NPI number?
The NPI number for Lorena Lopez is 1164042289. It was assigned to this individual provider in the NPPES registry on April 18, 2020.
Where is Lorena Lopez located?
Lorena Lopez practices at 6280 Sunset Dr Ste 501, South Miami, FL 33143. The listed phone number is (305) 671-3447.
What is Lorena Lopez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Lorena Lopez enrolled in Medicare?
Yes. Lorena Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lorena Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Lopez reassigns Medicare benefits to 2 organizations: Kings Daughters Medical Specialties Inc (Prestonsburg, KY) and Licking Memorial Professional Corporation (Newark, OH). Each 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 Lorena Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lorena Lopez accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Lorena Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lorena Lopez affiliated with any hospitals?
According to CMS data, Lorena Lopez is affiliated with King's Daughters' Medical Center and Licking Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Lorena Lopez was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Lorena A Lopez, MD · NPI 1164042289
Rheumatology physician in South Miami, Florida. Individual provider, active in the CMS NPPES registry since April 18, 2020.
## Identity
- **NPI:** 1164042289 (Entity type: Individual)
- **Enumerated:** April 18, 2020
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** ME161559 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6280 SUNSET DR STE 501, South Miami, FL 33143-4870
- **Phone:** (305) 671-3447
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kings Daughters Medical Specialties Inc (NPI 1710215736, Prestonsburg, KY); Licking Memorial Professional Corporation (NPI 1932186053, Newark, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164042289) · Data from the CMS NPPES public registry.