DR. CARLOS JAVIER LOPEZ M.D.
NPI 1952309320
Pediatrics in Phoenix, AZ

Q: What is Carlos Lopez's NPI number?

The NPI number for Carlos Lopez is 1952309320. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Carlos Lopez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Lopez was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 11, 2005PECOS EnrolledAccepts Medicare Assignment

521 W THOMAS RD, 2ND FLOOR, PHOENIX, AZ 85013(602) 264-3133(602) 252-2644 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, Sep 30, 2019 (2 updates tracked since 2019).

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About Dr. Carlos Javier Lopez M.d. NPPES

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

DR. CARLOS JAVIER LOPEZ M.D. (NPI 1952309320) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (27821) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1952309320

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CARLOS JAVIER LOPEZCredential: M.D.

Location Address521 W THOMAS RD, 2ND FLOORPhoenix, AZ 85013-4240

Mailing Address521 W Thomas Rd, 2nd FloorPhoenix, AZ 85013-4240 · (602) 254-0390 · Fax (800) 846-8757

Phone(602) 264-3133

Fax(602) 252-2644

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 11, 2005

Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration

✔ NPI 1952309320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 27821

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 27821 (AZ)

521 W THOMAS RD, Phoenix, AZ 85013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.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. Carlos Javier 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 ID3870511629

PECOS Enrollment IDI20051109001213

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.

Medicare Billing Reassignments

Medicare enrollment records show Carlos Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kids And Family Kare LLC

Same address

Family Medicine

521 W THOMAS RD FL 2
Phoenix, AZ 85013

Reassigned Medicare billing, Arizona enrollment
3 clinicians in this Medicare group

NPI 1508406075 (602) 254-0390

Kids Kare Pediatrics PC

Same address

Pediatrics

521 W THOMAS RD, 2ND FLOOR
Phoenix, AZ 85013

Reassigned Medicare billing, Arizona enrollment
7 clinicians in this Medicare group

NPI 1508829326 (602) 867-1252

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 2

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.

55 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 9

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

LINDA LOU HOLLAND-OJEDA F.N.P.

Nurse Practitioner (Family)

521 W THOMAS RD
PHOENIX, AZ 85013

Maricopa County (602) 254-0390

PATRICK ARAMBULA MD

Pediatrics

521 W THOMAS RD, 2ND FLOOR
PHOENIX, AZ 85013

Maricopa County (602) 867-1252

LARISSA BECH MSN, RN, FNP

Nurse Practitioner (Family)

521 W THOMAS RD
PHOENIX, AZ 85013

Maricopa County (602) 254-0390

KIDS KARE PEDIATRICS PC

Pediatrics

521 W THOMAS RD, 2ND FLOOR
PHOENIX, AZ 85013

Maricopa County (602) 867-1252

DR. GEORGE RAYMOND AYOUB DDS

Dentist (General Practice)

521 W THOMAS RD, FIRST FLOOR
PHOENIX, AZ 85013

Maricopa County (602) 307-5775

KIDS KARE PEDIATRICS

Point of Service

521 W THOMAS RD
PHOENIX, AZ 85013

Maricopa County (602) 254-0390

HAO HAO YUAN RN, CPNP, MSN

Nurse Practitioner (Pediatrics)

521 W THOMAS RD
PHOENIX, AZ 85013

Maricopa County (602) 254-0390

TAMI HAMPSON FNP

Nurse Practitioner (Family)

521 W THOMAS RD, 2ND FLOOR
PHOENIX, AZ 85013

Maricopa County (602) 254-0390

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 Carlos Lopez's NPI number?

The NPI number for Carlos Lopez is 1952309320. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Carlos Lopez located?

Carlos Lopez practices at 521 W Thomas Rd 2nd Floor, Phoenix, AZ 85013. The listed phone number is (602) 264-3133.

What is Carlos Lopez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carlos Lopez enrolled in Medicare?

Yes. Carlos 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 Carlos Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Lopez reassigns Medicare benefits to 2 organizations: Kids And Family Kare LLC (Phoenix, AZ) and Kids Kare Pediatrics PC (Phoenix, AZ). 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 Carlos Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Lopez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. and 1 other insurer list Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Lopez was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.