DR. KEVIN LOPEZ MD
NPI 1316526726
Student in an Organized Health Care Education/Training Program in Manhasset, NY

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: April 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kevin Lopez Md NPPES

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

DR. KEVIN LOPEZ MD (NPI 1316526726) is an individual student in an organized health care education/training program in Manhasset, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2021).

NPPES Registry Identity

NPI1316526726
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN LOPEZCredential: MD
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2021
Enumeration DateApril 4, 2021
NPPES CertifiedApril 4, 2021
✔ NPI 1316526726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 COMMUNITY DR, Manhasset, NY 11030

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

Dr. Kevin 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 ID1153809777
PECOS Enrollment IDI20260203003872
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 Kevin Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 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.

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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030

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 Kevin Lopez's NPI number?

The NPI number for Kevin Lopez is 1316526726. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Kevin Lopez located?

Kevin Lopez practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Kevin Lopez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Lopez enrolled in Medicare?

Yes. Kevin 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 Kevin Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Lopez reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Kevin Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Lopez was last updated on April 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.