Individual provider Active NPI

Peter L Loo, MD

  • Sports Medicine (Family Medicine) Physician
  • Topeka, KS
National Provider Identifier
1275828535
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
04-37194 Issued in KS
Practice address
1101 SW 29TH St
Topeka, KS 66611-1200
Phone
(316) 293-2665
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 04-37194 KS Primary

Addresses

Primary practice location

1101 SW 29TH St
Topeka, KS 66611-1200

Mailing address

1101 SW 29TH St
Topeka, KS 66611-1200
Phone (785) 379-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150721000943 KS Practitioner - Sports MedicinePractitioner - Family Practice 1658519392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

600 SW Jewell Ave
Topeka, KS 66606-1607
Phone (785) 295-5310

6001 SW 6TH Ave
Topeka, KS 66615-1004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-37194KSMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

1101 SW 29th St
Topeka, KS 66611
Phone (785) 379-4600

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

3310 SE 29th St
Ste 300
Topeka, KS 66605
Phone (785) 270-7444

6001 SW 6th Ave
Ste 200
Topeka, KS 66615
Phone (785) 233-7491

Interoperability endpoints

  • Direct secure messaging: ploo191359@ahs.direct-ci.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1275828535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111200",
            "telephone_number": "785-379-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111200",
            "telephone_number": "316-293-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-37194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.