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LUIS J LOPEZ MD
NPI 1346342201
Internal Medicine - Gastroenterology in Tampa, FL

Active since September 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2055349 · Waiver
4700 N HABANA AVE, SUITE 701, TAMPA, FL 33614(813) 324-5888(813) 374-8891 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luis J Lopez Md NPPES

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

LUIS J LOPEZ MD (NPI 1346342201) is an individual gastroenterology provider in Tampa, Florida, licensed in Florida (ME93505) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 10, 2027, and is affiliated with St Josephs Hospital.

NPPES Registry Identity

NPI1346342201
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLUIS J LOPEZCredential: MD
Location Address4700 N HABANA AVE, SUITE 701Tampa, FL 33614-7160
Mailing Address4700 N Habana Ave, Suite 701Tampa, FL 33614-7160 · (813) 324-5888 · Fax (813) 374-8891
Phone(813) 324-5888
Fax(813) 374-8891
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1999
Enumeration DateSeptember 2, 2006
Last NPPES UpdateApril 7, 2016
✔ NPI 1346342201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME93505
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.

4700 N HABANA AVE, Tampa, FL 33614
Open in Google Maps ↗

Other Identifiers 3

Medicaid275993400FL
Medicare PIN29468XFL
Medicare UPINI42984FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis J 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 ID1557386919
PECOS Enrollment IDI20051014000037
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2055349

Luis J Lopez MD PA · Tampa, FL
Active · expires Mar 10, 2027
CLIA Number10D2055349
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorLuis J. Lopez
Laboratory Phone(813) 324-5888
Laboratory LocationLuis J Lopez MD PA4700 Habana Ave Ste 701, Tampa, FL 33614
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services57 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.
34 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%353 patients1/55-star benchmark: 100%
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
96%83 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%677 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%672 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JESSICA MESA LMT
Massage Therapist
4700 N HABANA AVE, 700
TAMPA, FL 33614
Hillsborough County (813) 374-9233
JAMES A VALENZA MD
Surgery
4700 N HABANA AVE, #403
TAMPA, FL 33614
Hillsborough County (941) 735-6146
DR. LORI ANN SLEZAK M.D.
Surgery
4700 N HABANA AVE, SUITE 403
TAMPA, FL 33614
Hillsborough County (813) 879-8290
MEDICAL HOME ALLIANCE LLC
Non-Pharmacy Dispensing Site
4700 N HABANA AVE
TAMPA, FL 33614
Hillsborough County (813) 444-9599
KAREN GONZALEZ FLORES MSW
Social Worker (Clinical)
4700 N HABANA AVE
TAMPA, FL 33614
Hillsborough County (888) 666-3089
BERNARD M. HOCHBERG, M.D., P.A
Specialist
4700 N HABANA AVE, SUITE 505
TAMPA, FL 33614
Hillsborough County (813) 877-7434
ONCOLOGY ASSOCIATION PA
Internal Medicine (Hematology & Oncology)
4700 N HABANA AVE, SUITE 702
TAMPA, FL 33614
Hillsborough County (813) 872-0613
TAMPA SURGICAL ASSOC PA
Specialist
4700 N HABANA AVE, SUITE 403
TAMPA, FL 33614
Hillsborough County (813) 877-1920

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 Luis Lopez's NPI number?

The NPI number for Luis Lopez is 1346342201. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Luis Lopez located?

Luis Lopez practices at 4700 N Habana Ave Suite 701, Tampa, FL 33614. The listed phone number is (813) 324-5888.

What is Luis Lopez's specialty?

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

Is Luis Lopez enrolled in Medicare?

Yes. Luis 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.

Does Luis Lopez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2055349) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Luis Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Luis 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 Luis Lopez affiliated with any hospitals?

According to CMS data, Luis Lopez is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Luis Lopez was last updated on April 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.