Individual provider Active NPI

Betty Peyti Lo, MD

  • Internal Medicine Physician
  • Kenner, LA
National Provider Identifier
1306868179
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
09854R Issued in LA
Practice address
200 W Esplanade Ave
Suite 205
Kenner, LA 70065-2489
Phone
(504) 412-1705
NPI assigned
Jul 24, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 09854R LA Primary
Pediatrics Physician 208000000X 09854R LA

Addresses

Primary practice location

200 W Esplanade Ave
Suite 205
Kenner, LA 70065-2489

Mailing address

1340 Poydras St
Suite 1640
New Orleans, LA 70112-1221
Phone (504) 412-1835

Other identifiers 2

IdentifierTypeStateIssuer
1986496MedicaidLA
07400536MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20031210000291 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8022914167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09854RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 29, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 29, 2022 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 1997 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 1997 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Children's Hospital Pediatrics Past Accepting new patients
Ochsner Clinic LLC Internal Medicine Past Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou Pediatrics Past Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

200 W Esplanade Ave
Ste 205
Kenner, LA 70065
Phone (504) 412-1705

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Interoperability endpoints

  • Direct secure messaging: blo1631600@direct.ochsner.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1306868179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST",
            "address_2": "SUITE 1640",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121221",
            "telephone_number": "504-412-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 205",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-412-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "BETTY",
        "middle_name": "PEYTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "09854R",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "09854R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986496",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07400536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.