Individual provider Active NPI

Issa Tew Lo, CRNP

  • Acute Care Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1013546100
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R182467 Issued in MD
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

Updated by the provider on Dec 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210426002134 MD Practitioner - Nurse Practitioner 5294143541 Reassigns benefits to 2 organizations
I20230806000135 DC Practitioner - Nurse Practitioner 5294143541 Reassigns benefits to 3 organizations
I20260427002728 CT Practitioner - Nurse Practitioner 5294143541 Reassigns benefits to 1 organization
I20260501002231 VA Practitioner - Nurse Practitioner 5294143541 Reassigns benefits to 1 organization
I20260504007592 PA Practitioner - Nurse Practitioner 5294143541 Reassigns benefits to 1 organization

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
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

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 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R182467MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Maryland, LLC Single Specialty CurrentSince Jul 13, 2023 Accepting new patients
Mep Observation Services LLC CurrentSince Jul 13, 2023 Accepting new patients
Sibte a. Kazmi MD LLC Single Specialty CurrentSince Mar 15, 2021 Accepting new patients
Mep Observation Services LLC Single Specialty CurrentSince Jul 13, 2023 Accepting new patients
Jasmine Chen Gatti MD LLC Single Specialty PastSince Apr 1, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.