Individual provider Active NPI

Marcus H Loo, M.D.

  • Urology Physician
  • New York, NY
National Provider Identifier
1053315614
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
159685 Issued in NY
Practice address
254 Canal Street
Suite 3001
New York, NY 10013-3501
Phone
(212) 925-8388
Fax
(212) 941-7426
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 159685 NY Primary

Addresses

Primary practice location

254 Canal Street
Suite 3001
New York, NY 10013-3501

Mailing address

254 Canal St
Suite 3001
New York, NY 10013-3501
Phone (212) 925-8388

Other identifiers 1

IdentifierTypeStateIssuer
01707271MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050205000000 NY Practitioner - Urology 6406807544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
JS Weill Medical College, Cornell University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

254 Canal St
RM 3001
New York, NY 10013-3501
Phone (212) 925-8388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus H Loo MD LLC CurrentSince Jul 1, 1988 Accepting new patients

Locations

254 Canal St
New York, NY 10013
Phone (212) 420-4334

254 Canal St
Rm 3001
New York, NY 10013
Phone (212) 925-8388

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mal2024@direct.nyp.org
  • Direct secure messaging: marcusloo@mhlmd.medalliesdirect.net

Organizations & group practices 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1053315614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 3001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-925-8388",
            "fax_number": "212-941-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CANAL STREET",
            "address_2": "SUITE 3001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-925-8388",
            "fax_number": "212-941-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "MARCUS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "159685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01707271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.