DR. IVELISSE LOPEZ M.D.
NPI 1316913171
Internal Medicine - Gastroenterology in Fort Wayne, IN

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845(260) 266-5230(260) 458-5972 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ivelisse Lopez M.d. NPPES

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

DR. IVELISSE LOPEZ M.D. (NPI 1316913171) is an individual gastroenterology provider in Fort Wayne, Indiana, licensed in Indiana (01100291A) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1316913171
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. IVELISSE LOPEZCredential: M.D.
Location Address11104 PARKVIEW CIRCLE DR STE 310Fort Wayne, IN 46845-1733
Mailing Address2880 S Osceola AveOrlando, FL 32806-5431 · (407) 843-0443 · Fax (407) 843-0442
Fax(260) 458-5972
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1995
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1316913171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in IN · 01100291A Licensed in FL · ME82595
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

11104 PARKVIEW CIRCLE DR STE 310, Fort Wayne, IN 46845

Secondary Practice Location 1

Location 12880 S Osceola AveOrlando, FL 32806-5431 · Phone (407) 843-0443 · Fax (407) 843-0442

Other Identifiers 1

Medicaid262579200FL

Accepted Insurance

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

Dr. Ivelisse Lopez M.d. 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 ID6800830050
PECOS Enrollment IDI20241112000225
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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Nurse Practitioner
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Internal Medicine
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Nurse Practitioner
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845

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 Ivelisse Lopez's NPI number?

The NPI number for Ivelisse Lopez is 1316913171. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Ivelisse Lopez located?

Ivelisse Lopez practices at 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845. The listed phone number is (260) 266-5230.

What is Ivelisse Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ivelisse Lopez enrolled in Medicare?

Yes. Ivelisse 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.

What insurance does Ivelisse Lopez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Ivelisse 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 Ivelisse Lopez affiliated with any hospitals?

According to CMS data, Ivelisse Lopez is affiliated with Archbold Memorial.

When was this NPI record last updated?

The NPPES record for Ivelisse Lopez was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.