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

Dr. Ivelisse Lopez, MD

Individual provider Gastroenterology Physician · NPI 1316913171

Dr. Ivelisse Lopez, MD is a Gastroenterology in Fort Wayne, Indiana. Qualified in 1995, 31 years ago. Practices with Archbold Medical Group, Inc, a 81-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
31
Licensed in
FL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone: (260) 266-5230
Fax: (260) 458-5972
Show map & directions

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

Additional practice locations (1)

  • 2880 S Osceola Ave, Orlando, FL 32806-5431 — (407) 843-0443

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 01100291A (IN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence ME82595 (FL)

Record details

NPI number1316913171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Archbold Medical Group, Inc. — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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