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Blake Fairchild Lopez , PA

Physician Assistant β€’ Birmingham, AL

Active NPI 1902519994 Individual Practitioner Female Practitioner
Practice location in NPPES

1802 6th Ave S
Birmingham, AL 352331932

Call 2563289934 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1802 6th Ave S

Birmingham, AL 352331932

Telephone 2563289934
Organization at the Same NPPES Address or Phone
University Of Alabama At Birmingham - Facility NPI 1427480557

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Blake Lopez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Blake Lopez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Birmingham and Alabama

368 active clinicians are listed under Physician Assistant with a practice address in Birmingham, AL (1,148 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Birmingham

5.4% of these 368 clinicians have the CMS telehealth indicator.

61.1% of these 368 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AL 2093

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230428000437

Enrollment State Jurisdiction

AL

PECOS Control ID

1951766864

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Ashlea Abercrombie

Nurse Anesthetist, Certified Registered

NPI 1851930523
Kayla Alexander , CRNP

Nurse Practitioner - Acute Care

NPI 1831734060

Certified Registered Nurse Practitioner

Faten Al Khamis , AGACNP

Nurse Practitioner

NPI 1215652516

Adult-Gerontology Acute Care Nurse Practitioner

Jana Amberson , CRNP

Nurse Practitioner - Acute Care

NPI 1497309124

Certified Registered Nurse Practitioner

Sarah Ashouri , CRNP

Nurse Practitioner - Acute Care

NPI 1417508193

Certified Registered Nurse Practitioner

Tonnichaka Barrett , CRNA

Nurse Anesthetist, Certified Registered

NPI 1801204383

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address November 19, 2024

Registered at 4781 LONGMEADOW DR, BESSEMER, AL 350227015 (Tel: 2563289934)

πŸ‘€
Provider Name / Credentials Updated November 19, 2024

Recorded as BLAKE LOPEZ, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Physician Assistant (license number reported to NPPES: AL 2093)

βœ…
NPI Profile Active January 04, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 04, 2023

Registered at 1802 6TH AVE S, BIRMINGHAM, AL 352331932 (Tel: 2563289934)

πŸ“
Business Mailing Address (Initial Record) January 04, 2023

Registered at 3886 JAMES HILL CIR, HOOVER, AL 352264706 (Tel: 2563289934)

πŸ‘€
Provider Name / Credentials (Initial Record) January 04, 2023

Recorded as ASHLEY FAIRCHILD, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration January 04, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902519994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2023
Last Update: November 19, 2024
Sole Proprietor: Yes

Other Physician Assistants in Birmingham

All Physician Assistants in Birmingham

Mailing Address

4781 Longmeadow Dr

Bessemer, AL 350227015

Phone: 2563289934

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.