Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. G. Michael Lopez, MD

Individual provider Primary Care Nurse Practitioner · NPI 1003973397

Dr. G. Michael Lopez, MD is an Internal Medicine in Las Vegas, New Mexico. Graduated from Stanford University School of Medicine in 1978, 48 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
48
Trained at
Stanford University School of Medicine
Licensed in
NM
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

105 Mills Ave Ste 300
Las Vegas, NM 87701-4169
Phone: (505) 425-9311
Fax: (505) 425-9047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence NM81-77 (NM)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence CNP-01651 (NM)

Record details

NPI number1003973397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address105 Mills Ave Ste 300, Las Vegas, NM 87701-4169

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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