Active NPI
Issa Tew Lo, CRNP
- Acute Care Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R182467
- Practice address
- 814 Toll House Ave
Frederick, MD 21701-4519 - Phone
- (301) 662-8310
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R182467 | MD | Primary |
Addresses
Primary practice location
814 Toll House Ave
Frederick, MD 21701-4519
Mailing address
730 Monarch Ridge Rd
Frederick, MD 21703-2226
Phone (301) 788-7089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, CT, VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Price Dr
Elkton, MD 21921-6731
Phone (410) 398-6474
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.91 of 100
- Quality
- 50.88
- Improvement activities
- 40
- Cost
- 69.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R182467 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Maryland, LLC | Single Specialty | Current | Accepting new patients |
| Mep Observation Services LLC | Current | Accepting new patients | |
| Sibte a. Kazmi MD LLC | Single Specialty | Current | Accepting new patients |
| Mep Observation Services LLC | Single Specialty | Current | Accepting new patients |
| Jasmine Chen Gatti MD LLC | Single Specialty | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
814 Toll House Ave
Frederick, MD 21701
Phone (301) 662-8310
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Interoperability endpoints
- https://api.platform.athenahealth.com/20487/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
CT, DC, MD, PA, VA
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
DC, Single Specialty
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC, Single Specialty
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1740021625
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1013546100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 MONARCH RIDGE RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217032226",
"telephone_number": "301-788-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 TOLL HOUSE AVE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014519",
"telephone_number": "301-662-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "ISSA",
"middle_name": "TEW",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2021-12-06",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R182467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.