Individual provider Active NPI

Scott R Lowry, DO

  • Family Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1184626673
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036062578 Issued in IL
Practice address
9501 171St St Ste Q
Tinley Park, IL 60487
Phone
(708) 966-0788
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 036062578 IL Primary

Addresses

Primary practice location

9501 171St St Ste Q
Tinley Park, IL 60487

Mailing address

74 Graymoor LN
Olympia Fields, IL 60461-1216
Phone (708) 417-3375

Other practice location 1

127 E Crawford St
Peotone, IL 60468-9207
Phone (708) 258-6300

Other identifiers 1

IdentifierTypeStateIssuer
036062578MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060223000460 IL Practitioner - Family Practice 6800802273 Reassigns benefits to 1 organization
Practice locations: Bourbonnais, IL; Chicago, IL; Tinley Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9501 171St St
Suite Q
Tinley Park, IL 60487-6111
Phone (708) 323-8507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Scott Lowry DO Family Medicine PastSince Nov 18, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scott.lowry.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: scott.lowry.p2@direct.alegiscare.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1184626673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 GRAYMOOR LN",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611216",
            "telephone_number": "708-417-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 171ST ST STE Q",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60487",
            "telephone_number": "708-966-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 E Crawford St",
            "address_purpose": "LOCATION",
            "city": "Peotone",
            "state": "IL",
            "postal_code": "604689207",
            "country_code": "US",
            "telephone_number": "708-258-6300",
            "fax_number": "708-258-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.