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DR. GLORIA ISABEL LOPEZ-HERNANDEZ M.D.
NPI 1184033979
Pediatrics - Pediatric Critical Care Medicine in Albuquerque, NM

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-5551(505) 272-6845 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Jul 15, 2024, Jul 13, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Gloria Isabel Lopez-hernandez M.d. NPPES

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

DR. GLORIA ISABEL LOPEZ-HERNANDEZ M.D. (NPI 1184033979) is an individual pediatric critical care medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-0600) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saddle Brook, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184033979
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. GLORIA ISABEL LOPEZ-HERNANDEZCredential: M.D.
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-8060
Phone(505) 272-5551
Fax(505) 272-6845
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 6, 2014
Last NPPES UpdateSeptember 11, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1184033979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NM · MD2019-0600
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
2211 LOMAS BLVD NE, Albuquerque, NM 87106
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Secondary Practice Location 1

Location 149 Finnigan Ave Apt P16Saddle Brook, NJ 07663-6091 · Phone (201) 509-0308

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gloria Isabel Lopez-hernandez M.d. 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.

PECOS PAC ID4587992417
PECOS Enrollment IDI20190829003481
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

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

GLYNNIS INGALL
Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2445
DR. RACHEL ELIZABETH WEMHOFF MD
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2245
DR. JAMES MAXWELL DECKER AUD
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3535
ISABELLA REITZ-PEREZ MD
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-4161
LAURA MIGLIACCIO
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2242
DR. KAREN RENEE CRAIG M.D.
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-0011
DR. LESLIE ERIN STRICKLER DO
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-5551
UNM MEDICAL GROUP INC
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3200

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 Gloria Lopez-hernandez's NPI number?

The NPI number for Gloria Lopez-hernandez is 1184033979. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Gloria Lopez-hernandez located?

Gloria Lopez-hernandez practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-5551.

What is Gloria Lopez-hernandez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Gloria Lopez-hernandez enrolled in Medicare?

Yes. Gloria Lopez-hernandez 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.

What insurance does Gloria Lopez-hernandez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Gloria Lopez-hernandez 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.

When was this NPI record last updated?

The NPPES record for Gloria Lopez-hernandez was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.