FIDEL LOPEZ PAA
NPI 1235168857
Anesthesiologist Assistant in Atlanta, GA

Q: What is Fidel Lopez's NPI number?

The NPI number for Fidel Lopez is 1235168857. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Fidel Lopez's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Fidel Lopez was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 03, 2006Accepts Medicare Assignment

1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About Fidel Lopez Paa NPPES

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

FIDEL LOPEZ PAA (NPI 1235168857) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (6541) and active in the NPI registry since July 2006. He is affiliated with Children's Healthcare Of Atlanta At Egleston and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235168857

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameFIDEL LOPEZCredential: PAA

Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060

Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362

Phone(404) 785-6670

Fax(404) 785-1362

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 3, 2006

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1235168857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 6541

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1405 CLIFTON RD NE FL 3, Atlanta, GA 30322

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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 and accepts Medicare assignment

Fidel Lopez Paa 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 ID9436162732

PECOS Enrollment IDI20121029000289

Hospital Affiliations CMS Care Compare

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

Children's Healthcare Of Atlanta At Egleston

Childrens · Atlanta, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number113300

Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

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.

MATTHEW LEWIS PAA

Anesthesiologist Assistant