Individual provider Active NPI

Tou Shoua John Lor, MD

  • Family Medicine Physician
  • Kronenwetter, WI
National Provider Identifier
1104184076
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62537 Issued in WI
Practice address
1881 County Road XX
Kronenwetter, WI 54455-7933
Phone
(715) 355-4040
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62537 WI Primary

Addresses

Primary practice location

1881 County Road XX
Kronenwetter, WI 54455-7933

Mailing address

1881 County Road XX
Kronenwetter, WI 54455-7933
Phone (715) 355-4040

Other identifiers 1

IdentifierTypeStateIssuer
1104184076MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150910000980 WI Practitioner - Family Practice 0749597615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

1881 County Rd XX
Kronenwetter, WI 54455-7933
Phone (715) 355-4040

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-0477

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391

Hospital & facility affiliations

  • Aspirus at Home Home health agency, Wausau, WI, CCN 527016
  • Compassus Home Health Home health agency, Marshfield, WI, CCN 527189
  • Aspirus at Home Hospice, Wausau, WI, CCN 521624
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Aspirus Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Apr 1, 2016 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. Family Medicine Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1881 County Road XX
Kronenwetter, WI 54455
Phone (715) 355-4040

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Wind Ridge Dr
Wausau, WI 54401
Phone (715) 675-3391

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: tlor56600@direct.aspirus.org

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus Wausau Hospital IncWausau, WI, CCN 520030 Hospital Corporate Director Sep 30, 2021
Aspirus Merrill HospitalMerrill, WI, CCN 521339 Hospital Corporate Director Sep 30, 2021
Aspirus Wausau Hospital IncWausau, WI, CCN 52T030 Hospital Corporate Director Sep 30, 2021
Aspirus Merrill HospitalMerrill, WI, CCN 52Z339 Hospital Corporate Director Sep 30, 2021
Aspirus Plover HospitalStevens Point, WI, CCN 52003001 Hospital Corporate Director Sep 30, 2021

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 9

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1104184076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 COUNTY ROAD XX",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544557933",
            "telephone_number": "715-355-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COUNTY ROAD XX",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544557933",
            "telephone_number": "715-355-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "TOU SHOUA",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "62537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104184076",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kronenwetter, WI

Sources for this page

Verify at the official NPI Registry.