Individual provider Active NPI

Loren R Kaiser, MD

  • Pediatrics Physician
  • Wheeling, WV
National Provider Identifier
1336550748
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27088 Issued in WV
Practice address
30 Medical Park
Suite 221
Wheeling, WV 26003
Phone
(304) 243-8850
Fax
(304) 243-8437
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27088 WV Primary

Addresses

Primary practice location

30 Medical Park
Suite 221
Wheeling, WV 26003

Mailing address

1 Medical Park
Physician Billing Dept. NTTC
Wheeling, WV 26003
Phone (304) 243-7181

Other identifiers 1

IdentifierTypeStateIssuer
0231681MedicaidOH

Other names 1

  • Loren R. Mueller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220210001958 OH Practitioner - Pediatric Medicine 1052613650 Reassigns benefits to 1 organization
I20220217000588 WV Practitioner - Pediatric Medicine 1052613650 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27088WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Feb 9, 2022 Accepting new patients
Wheeling Hospital Inc CurrentSince Nov 2, 2021 Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

30 Medical Park
Ste 202
Wheeling, WV 26003
Phone (304) 243-1250

30 Medical Park
Ste 221
Wheeling, WV 26003
Phone (304) 242-0588

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1336550748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "address_2": "PHYSICIAN BILLING DEPT. NTTC",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-243-7181",
            "fax_number": "304-243-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK",
            "address_2": "SUITE 221",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-243-8850",
            "fax_number": "304-243-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "LOREN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "27088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREN",
            "last_name": "MUELLER",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.