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ODALIZ IVETTE LOPEZ
NPI 1235023516
Nurse Practitioner - Pediatrics in San Antonio, TX

Active since June 03, 2025PECOS Enrolled
5430 FREDERICKSBURG RD, SAN ANTONIO, TX 78229(210) 614-5539 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odaliz Ivette Lopez NPPES

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

ODALIZ IVETTE LOPEZ (NPI 1235023516) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (1169650) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235023516
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameODALIZ IVETTE LOPEZ
Location Address5430 FREDERICKSBURG RDSan Antonio, TX 78229-3539
Mailing Address10130 Dapple ColtSan Antonio, TX 78254-2746 · (210) 218-8480
Phone(210) 614-5539
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1235023516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1169650
5430 FREDERICKSBURG RD, San Antonio, TX 78229
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odaliz Ivette Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

RASHID AND RICE EYE ASSOCIATES, P.L.L.C.
Ophthalmology
5430 FREDERICKSBURG RD, SUITE 100
SAN ANTONIO, TX 78229
Bexar County (210) 340-1212
JAMES ADDISON PUCKETT RNC-NIC, MSN, NNP-BC
Nurse Practitioner (Neonatal)
5430 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (800) 243-3839
ANISSA KAREEN MEHER-HOMJI MD
Hospitalist
5430 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281
DR. DERRICK W CRABTREE O.D.
Optometrist
5430 FREDERICKSBURG RD, STE 100
SAN ANTONIO, TX 78229
Bexar County (210) 340-1212
PENNY BENNETT PHD, MSN, NNP-BC, FN
Nurse Practitioner (Neonatal)
5430 FREDERICKSBURG RD, SUITE 508
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281
MOCKINGBIRD OPTICAL SHOP LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
5430 FREDERICKSBURG RD, STE 100
SAN ANTONIO, TX 78229
Bexar County (210) 340-1212
DR. CLARISSA MYRA DELEON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5430 FREDERICKSBURG RD, SUITE 508
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281
DR. LINDSAY BETH BAKER DEVRIES M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5430 FREDERICKSBURG RD, SUITE 508
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281

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 Odaliz Lopez's NPI number?

The NPI number for Odaliz Lopez is 1235023516. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Odaliz Lopez located?

Odaliz Lopez practices at 5430 Fredericksburg Rd, San Antonio, TX 78229. The listed phone number is (210) 614-5539.

What is Odaliz Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Odaliz Lopez enrolled in Medicare?

Yes. Odaliz Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Odaliz Lopez was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.