Individual provider Active NPI

Kristen Elise Lohr, P.A.C.

  • Physician Assistant
  • Waldorf, MD
National Provider Identifier
1023385457
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004588 Issued in MD
Practice address
12090 Old Line Centre
Waldorf, MD 20602
Phone
(301) 843-3888
Fax
(301) 870-6838
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004588 MD Primary

Addresses

Primary practice location

12090 Old Line Centre
Waldorf, MD 20602

Mailing address

12090 Old Line Centre
Waldorf, MD 20602
Phone (301) 843-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000089 DC Practitioner - Physician Assistant 9638346455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Suite 370
Laurel, MD 20707-5231
Phone (301) 982-9800

7704 Matapeake Business Dr
Suite 200
Brandywine, MD 20613-3045
Phone (301) 812-3900

Hospital & facility affiliations

  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
71.66
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology P.a. CurrentSince Aug 16, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

7704 Matapeake Business Dr
Ste 200
Brandywine, MD 20613
Phone (301) 358-6070

9333 Healthcare Way
Ste 4100
Largo, MD 20774
Phone (301) 812-3900

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

Interoperability endpoints

  • Direct secure messaging: kristen.lohr@mdonc.ikm.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1023385457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12090 OLD LINE CENTRE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "301-843-3888",
            "fax_number": "301-870-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12090 OLD LINE CENTRE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "301-843-3888",
            "fax_number": "301-870-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHR",
        "first_name": "KRISTEN",
        "middle_name": "ELISE",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.