RICHARD D LOPEZ MD
NPI 1215961883
Internal Medicine - Hematology & Oncology in Birmingham, AL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233(205) 934-6600 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Richard D Lopez Md NPPES

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

RICHARD D LOPEZ MD (NPI 1215961883) is an individual hematology & oncology provider in Birmingham, Alabama, licensed in Alabama (22905) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Stanford University School Of Medicine (1983).

NPPES Registry Identity

NPI1215961883
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameRICHARD D LOPEZCredential: MD
Location Address619 19TH STREET SOUTHBirmingham, AL 35233
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1983
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 13, 2011
✔ NPI 1215961883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AL · 22905
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
619 19TH STREET SOUTH, Birmingham, AL 35233

Other Identifiers 13

Medicaid009937056AL
Medicare ID-Type Unspecified000045410AL
Other110192697AL · Railroad Medicare
Other000045410AL · Blue Cross
Medicaid009909515AL
Medicaid000032489AL
Other051505908AL · Blue Cross
OtherG58868AL · Viva
Medicaid051505908AL
Medicaid000045410AL
Other000032489AL · Blue Cross
Medicaid009937101AL
Other051511815AL · Blue Cross

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

Richard D 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.

PECOS PAC ID4284806498
PECOS Enrollment IDI20140108000118
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 Richard Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

Psychiatry & Neurology (Psychiatry)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Social Worker (Clinical)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Neurological Surgery
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Neurology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine (Geriatric Medicine)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Anesthesiology
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233

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 Richard Lopez's NPI number?

The NPI number for Richard Lopez is 1215961883. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Richard Lopez located?

Richard Lopez practices at 619 19th Street South, Birmingham, AL 35233. The listed phone number is (205) 934-6600.

What is Richard Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Richard Lopez enrolled in Medicare?

Yes. Richard 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 organization bills Medicare for Richard Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Lopez reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Mooresville, NC). The 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 Richard Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Lopez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Richard 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 Richard Lopez affiliated with any hospitals?

According to CMS data, Richard Lopez is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Richard Lopez was last updated on June 13, 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.