Individual provider Active NPI

Charles E Lowe III, MD

  • Allergy & Immunology Physician
  • Pikeville, KY
National Provider Identifier
1104854207
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
37578 Issued in KY
Practice address
5425 North Mayo Trail
Suite 101
Pikeville, KY 41501
Phone
(606) 433-0591
Fax
(606) 433-0594
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 37578 KY Primary

Addresses

Primary practice location

5425 North Mayo Trail
Suite 101
Pikeville, KY 41501

Mailing address

5425 North Mayo Trail
Suite 101
Pikeville, KY 41501
Phone (606) 433-0591

Other identifiers 2

IdentifierTypeStateIssuer
64063340MedicaidKY
11175801OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20061108000508 KY Practitioner - Allergy/ImmunologyPractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 8527030147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine, Pulmonary Disease
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5425 N Mayo TRL
Suite 101
Pikeville, KY 41501-2964
Phone (606) 433-0591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37578KYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Center of Appalachia, PLLC Allergy & Immunology CurrentSince Jul 17, 2006 Accepting new patients
Medical Education Assistance Corporation Allergy & Immunology PastSince Aug 1, 2015 Accepting new patients

Locations

5425 N Mayo Trl
Ste 101
Pikeville, KY 41501
Phone (606) 433-0591

Interoperability endpoints

  • Direct secure messaging: charleslowe@arh.medalliesdirect.net

Organizations & group practices 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1104854207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 NORTH MAYO TRAIL",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-433-0591",
            "fax_number": "606-433-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 NORTH MAYO TRAIL",
            "address_2": "SUITE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-433-0591",
            "fax_number": "606-433-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "37578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64063340",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11175801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.