DR. IVELISSE LOPEZ M.D.
NPI 1316913171
Internal Medicine - Gastroenterology in Fort Wayne, IN
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Ivelisse Lopez reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 317 clinicians in this Medicare group
Tifton, GA 31794
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Cairo, GA 39828
- Reassigned Medicare billing, Georgia enrollment
- 96 clinicians in this Medicare group
Orlando, FL 32803
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Gastroenterology Assoc Of Central Fl
- 18 clinicians in this Medicare group
Orlando, FL 32806
- Reassigned Medicare billing, Florida enrollment
- 3,290 clinicians in this Medicare group
Fort Myers, FL 33916
- Reassigned Medicare billing, Florida enrollment
- 1,345 clinicians in this Medicare group
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Archbold Memorial
Acute Care Hospitals · Thomasville, GAParkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INPhysician 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.
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.
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
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.
Which organizations bill Medicare for Ivelisse Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivelisse Lopez reassigns Medicare benefits to 8 organizations: Parkview Health System,inc. (Fort Wayne, IN), Piedmont Specialty Hospital Billing LLC (Jasper, GA), Tift Regional Health System, Inc (Tifton, GA), Archbold Medical Group (Cairo, GA), Gastroenterology Associate Of Central Florida (Orlando, FL) and 3 more organizations, listed in the Medicare section above. Each 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 Ivelisse Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivelisse Lopez accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Alabama and 6 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 and Parkview Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Ivelisse Lopez was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Ivelisse Lopez, M.D. · NPI 1316913171
Gastroenterology physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since February 23, 2006.
## Identity
- **NPI:** 1316913171 (Entity type: Individual)
- **Enumerated:** February 23, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 01100291A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11104 PARKVIEW CIRCLE DR STE 310, Fort Wayne, IN 46845-1733
- **Phone:** (260) 266-5230 · **Fax:** (260) 458-5972
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Parkview Health System,inc. (NPI 1437461449, Fort Wayne, IN); Piedmont Specialty Hospital Billing LLC (NPI 1699290510, Jasper, GA); Tift Regional Health System, Inc (NPI 1861022329, Tifton, GA); Archbold Medical Group (NPI 1265798185, Cairo, GA); Gastroenterology Associate Of Central Florida (NPI 1750320099, Orlando, FL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** June 29, 2026
- **Other identifiers:** Medicaid 262579200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1316913171) · Data from the CMS NPPES public registry.