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THALIA LOPEZ MD
NPI 1235624842
Internal Medicine - Rheumatology in Coral Gables, FL

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
747 PONCE DE LEON BLVD STE 607, CORAL GABLES, FL 33134(786) 803-8252(786) 899-0775 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2025, Jul 18, 2024, Nov 17, 2023 and 4 more (7 updates tracked since 2018).

About Thalia Lopez Md NPPES

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

THALIA LOPEZ MD (NPI 1235624842) is an individual rheumatology provider in Coral Gables, Florida, licensed in Florida (ME147756) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235624842
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameTHALIA LOPEZCredential: MD
Location Address747 PONCE DE LEON BLVD STE 607Coral Gables, FL 33134-2074
Mailing Address747 Ponce De Leon Blvd Ste 607Coral Gables, FL 33134-2074 · (786) 803-8252 · Fax (786) 899-0775
Phone(786) 803-8252
Fax(786) 899-0775
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 26, 2018
Last NPPES UpdateFebruary 10, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1235624842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME147756
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
747 PONCE DE LEON BLVD STE 607, Coral Gables, FL 33134
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Thalia 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 ID3779961966
PECOS Enrollment IDI20220531001143
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 Thalia Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Arthritis & Rheumatology Associates LLC
80 mi
Rheumatology
1025 MILITARY TRL STE 200
Jupiter, FL 33458
  • Reassigned Medicare billing, Florida enrollment
  • 80 clinicians in this Medicare group
NPI 1598205072 (561) 747-1987

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 4

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

INTERMAS USA CORP
Clinic/Center (Primary Care)
747 PONCE DE LEON BLVD STE 607
CORAL GABLES, FL 33134
Miami-Dade County (305) 401-7451
RACHEL VALLEJO M.D.
Family Medicine
747 PONCE DE LEON BLVD STE 607
CORAL GABLES, FL 33134
Miami-Dade County (305) 787-7780
RACHEL VALLEJO MD PLLC
Family Medicine
747 PONCE DE LEON BLVD STE 607
CORAL GABLES, FL 33134
Miami-Dade County (305) 783-7780
FLORIDA ARTHRITIS MEDICAL CENTER
Internal Medicine (Rheumatology)
747 PONCE DE LEON BLVD STE 607
CORAL GABLES, FL 33134
Miami-Dade County (786) 899-0771

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 Thalia Lopez's NPI number?

The NPI number for Thalia Lopez is 1235624842. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Thalia Lopez located?

Thalia Lopez practices at 747 Ponce De Leon Blvd Ste 607, Coral Gables, FL 33134. The listed phone number is (786) 803-8252.

What is Thalia Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Thalia Lopez enrolled in Medicare?

Yes. Thalia 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 Thalia Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thalia Lopez reassigns Medicare benefits to American Arthritis & Rheumatology Associates LLC (Jupiter, FL). 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 Thalia Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thalia Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Thalia 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.

When was this NPI record last updated?

The NPPES record for Thalia Lopez was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.