Individual provider Active NPI

Carson Tan Lo, MD

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1164483293
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0112 Issued in TX
Practice address
1331 W Grand Pkwy N Ste 310
Katy, TX 77493-2735
Phone
(281) 599-3222
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X K0112 TX
Internal Medicine Physician 207R00000X K0112 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 310
Katy, TX 77493-2735

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other identifiers 1

IdentifierTypeStateIssuer
100651203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110615000835 TX Practitioner - Internal Medicine 8325134133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Healthcare Foundation Texas, Inc.Group PAC ID 5991940520, 19 clinicians

Practice addresses (Care Compare)

1331 W Grand Pkwy N
Suite 310
Katy, TX 77493-2735
Phone (281) 599-3222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
We Heal Wound Care PA Infectious Disease CurrentSince Apr 1, 2024 Accepting new patients
AIDS Healthcare Foundation Texas Inc Infectious Disease CurrentSince Aug 4, 2025 Accepting new patients
Carson T. Lo MD PA Infectious Disease CurrentSince Aug 17, 2002 Accepting new patients
Edward R Rensimer MD PA Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

1200 Binz St
Ste 1290
Houston, TX 77004
Phone (713) 524-8700

7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9200

1331 W Grand Pkwy N
Ste 310
Katy, TX 77493
Phone (281) 599-3222

5900 S Lake Forest Dr
Ste 300
McKinney, TX 75070
Phone (214) 363-5991

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCGAA/Endpoint/AGCGAA
  • Direct secure messaging: carson.lo.1@26356.direct.athenahealth.com
  • Direct secure messaging: carson.lo@whida.eclinicaldirectplus.com

Organizations & group practices 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1164483293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932735",
            "telephone_number": "281-599-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "CARSON",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K0112",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100651203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.