Organization Active NPI

Scott R Lowry DO PC

  • Family Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1265488712
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCOTT R LOWRY DO PC
Practice address
9501 171St St
Tinley Park, IL 60487-6110
Phone
(708) 966-0788
Fax
(773) 466-1644
NPI assigned
May 26, 2006
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Scott Lowry, DONPI 1184626673
Title
Owner Physician
Phone
(708) 258-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9501 171St St
Tinley Park, IL 60487-6110

Mailing address

127 E Crawford St
Peotone, IL 60468-9207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000120 IL Part B Supplier - Clinic/Group Practice 9739195108 Receives reassigned benefits from 1 practitioner
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

9501 171st St
Ste Q
Tinley Park, IL 60487
Phone 7085326029236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1265488712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E CRAWFORD ST",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 171ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876110",
            "telephone_number": "708-966-0788",
            "fax_number": "773-466-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R LOWRY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER  PHYSICIAN",
        "authorized_official_telephone_number": "708-258-6300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.