DR. LUIS FERNANDO RAUSEO LOPEZ MD
NPI 1629565700
Internal Medicine in Coral Gables, FL

Q: What is Luis Rauseo Lopez's NPI number?

The NPI number for Luis Rauseo Lopez is 1629565700. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Q: What is Luis Rauseo Lopez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luis Rauseo Lopez was last updated on June 15, 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.

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment

99.93/100

CMS Quality Rating

5000 UNIVERSITY DR, CORAL GABLES, FL 33146(786) 308-3000 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2021, May 20, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Luis Fernando Rauseo Lopez Md NPPES

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

DR. LUIS FERNANDO RAUSEO LOPEZ MD (NPI 1629565700) is an individual internal medicine provider in Coral Gables, Florida, licensed in Florida (ME148587) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629565700

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. LUIS FERNANDO RAUSEO LOPEZCredential: MD

Location Address5000 UNIVERSITY DRCoral Gables, FL 33146-2008

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818

Phone(786) 308-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 15, 2018

Last NPPES UpdateJune 15, 20214 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1629565700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME148587

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5000 UNIVERSITY DR, Coral Gables, FL 33146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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. Luis Fernando Rauseo 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 ID3779839550

PECOS Enrollment IDI20210713000302

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 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.

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.

292 services109 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

120 services119 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

117 services111 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

88 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

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 33146 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.

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.

99.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.3

Promoting Interoperability

100

Improvement Activities

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.

JULIETTE MORALES

Nurse Practitioner (Critical Care Medicine)

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (786) 308-3000

SPQ MEDICAL LLC

Emergency Medicine

5000 UNIVERSITY DR
MIAMI, FL 33146

Miami-Dade County (786) 294-1707

BARBARA BESSA CRNA

Nurse Anesthetist, Certified Registered

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (305) 448-9018

ANNETTE VICTORIA DE LEON

Hospitalist

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (786) 308-3000

EDUARDO E VILLALOBOS MD

Radiology (Diagnostic Radiology)

5000 UNIVERSITY DR
MIAMI, FL 33146

Miami-Dade County (786) 308-2302

DOCTORS HOSPITAL INC

Pharmacy (Community/Retail Pharmacy)

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (786) 308-4204

JANY FUENTES APRN

Internal Medicine (Geriatric Medicine)

5000 UNIVERSITY DR
MIAMI, FL 33146

Miami-Dade County (305) 505-0361

SILVIO S TANEV MD

Pathology (Clinical Pathology/Laboratory Medicine)

5000 UNIVERSITY DR
CORAL GABLES, FL 33146

Miami-Dade County (305) 669-3471

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 Rauseo Lopez's NPI number?

The NPI number for Luis Rauseo Lopez is 1629565700. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Luis Rauseo Lopez located?

Luis Rauseo Lopez practices at 5000 University Dr, Coral Gables, FL 33146. The listed phone number is (786) 308-3000.

What is Luis Rauseo Lopez's specialty?

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

Is Luis Rauseo Lopez enrolled in Medicare?

Yes. Luis Rauseo 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 Luis Rauseo Lopez accept?

Health plans from Oscar Health Maintenance Organization of Florida list Luis Rauseo 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 Rauseo Lopez affiliated with any hospitals?

According to CMS data, Luis Rauseo Lopez is affiliated with Baptist Hospital Of Miami, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Luis Rauseo Lopez was last updated on June 15, 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.