| NPI | 1003973397 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-01-03 |
| Last Updated | 2025-03-05 |
| Mailing Address | 105 Mills Ave Ste 300 Las Vegas, NM 87701-4169 United States Phone: (505) 425-9311 | Fax: (505) 425-9047 📍 View Map |
| Primary Practice Address | 105 Mills Ave Ste 300 Las Vegas, NM 87701-4169 United States Phone: (505) 425-9311 | Fax: (505) 425-9047 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NM | 1991 | LOVELACE |
| Other (non-Medicare) | NM | 201006000 | PRESBYTERIAN HEALTH PLAN |
| Other (non-Medicare) | NM | 50013 | HMO OF NEW MEXICO |
| MEDICAID | NM | NM00007070 | — |
| Other (non-Medicare) | NM | NM001568 | BLUE CROSS BLUE SHIELD |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363LP2300X – Nurse Practitioner, Primary Care | NM | CNP-01651 |
| Yes | 207R00000X – Internal Medicine | NM | NM81-77 |
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About NPI 1003973397
G. Michael Lopez M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1003973397. The primary specialty listed is Internal Medicine. The provider is located in Las Vegas, NM. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003973397?
NPI 1003973397 belongs to G. Michael Lopez M.D., a Internal Medicine in Las Vegas, NM. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003973397 active?
The current status of NPI 1003973397 in the NPPES registry is Active. The record was last updated on 2025-03-05.
What specialty is NPI 1003973397?
NPI 1003973397 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003973397?
You can verify NPI 1003973397 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003973397?
The primary practice address on file for NPI 1003973397 is 105 Mills Ave Ste 300, Las Vegas, NM 87701-4169. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003973397 issued?
NPI 1003973397 was first issued (enumerated) on 2007-01-03. The NPPES record was last updated on 2025-03-05.
Practice Location Map
G. Michael Lopez is located at 105 Mills Ave Ste 300, Las Vegas, NM. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as G. Michael Lopez. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1003973397. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Primary Care | CNP-01651 | NM |
| Internal Medicine | NM81-77 | NM |