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GUILLERMO R LOPEZ MD
NPI 1518187590
Internal Medicine in Miami, FL

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
9950 SW 107TH AVE STE 101, MIAMI, FL 33176(305) 274-8779(305) 274-0646 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 9, 2022, Oct 20, 2021 (2 updates tracked since 2021).

About Guillermo R Lopez Md NPPES

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

GUILLERMO R LOPEZ MD (NPI 1518187590) is an individual internal medicine provider in Miami, Florida, licensed in Florida (72664) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1995).

NPPES Registry Identity

NPI1518187590
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGUILLERMO R LOPEZCredential: MD
Location Address9950 SW 107TH AVE STE 101Miami, FL 33176-2767
Mailing Address9950 Sw 107th Ave Ste 101Miami, FL 33176-2767 · (305) 274-8779 · Fax (052) 740-6463
Phone(305) 274-8779
Fax(305) 274-0646
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1995
Enumeration DateMay 1, 2007
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1518187590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 72664
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9950 SW 107TH AVE STE 101, Miami, FL 33176
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Guillermo R 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 ID5496827636
PECOS Enrollment IDI20080801000545
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.

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.
350 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims73 services$5.85 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$6.68 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$33.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims23 services$177.13 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers12 claims12 services$19.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

VERONICA PEREZ APRN
Nurse Practitioner (Family)
9950 SW 107TH AVE STE 101
MIAMI, FL 33176
Miami-Dade County (305) 274-8779
MARTIN S HIRIART M.D.
Internal Medicine
9950 SW 107TH AVE STE 101
MIAMI, FL 33176
Miami-Dade County (305) 274-8779
TRICORD MEDICAL GROUP INC
Internal Medicine
9950 SW 107TH AVE STE 101
MIAMI, FL 33176
Miami-Dade County (305) 274-8779

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 Guillermo Lopez's NPI number?

The NPI number for Guillermo Lopez is 1518187590. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Guillermo Lopez located?

Guillermo Lopez practices at 9950 SW 107th Ave Ste 101, Miami, FL 33176. The listed phone number is (305) 274-8779.

What is Guillermo Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Guillermo Lopez enrolled in Medicare?

Yes. Guillermo 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 Guillermo Lopez accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Guillermo 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 Guillermo Lopez affiliated with any hospitals?

According to CMS data, Guillermo Lopez is affiliated with South Miami Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Guillermo Lopez was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.