Individual provider Active NPI

Andrew K Lobe, PA

  • Physician Assistant
  • Palm Springs, CA
National Provider Identifier
1346226057
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20941 Issued in CA
Practice address
151 S Sunrise Way
Suite 300
Palm Springs, CA 92262-0118
Phone
(760) 969-7780
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1060527 WI
Physician Assistant 363A00000X PA20941 CA Primary

Addresses

Primary practice location

151 S Sunrise Way
Suite 300
Palm Springs, CA 92262-0118

Mailing address

72780 Country Club Dr
BLDG B 203
Rancho Mirage, CA 92270-4126
Phone (760) 674-3847

Other identifiers 5

IdentifierTypeStateIssuer
70OtherWIDEANCARE PROV #
391023846OtherWICOMMERCIAL INS PROV #
1009390OtherWIPHYS PLUS PROV #
P00160692OtherWIRAILROAD MEDICARE PROV #
41990000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000705 CA Practitioner - Physician Assistant 2860467560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

151 S Sunrise Way
Palm Springs, CA 92262-0118
Phone (760) 969-7780

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20941CAMDSpeech-Language Pathologist
PA20941CAMDPhysician Assistant
1060527WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Dec 3, 2010 Accepting new patients
Eisenhower Medical Center CurrentSince Dec 3, 2010 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
SSM Healthcare of Wi Inc Past Accepting new patients
SSM Health Care of Wisconsin, Inc. Past Accepting new patients
SSM Health Treatment and Recovery Center Past Accepting new patients
SSM Health Care of Wisconsin Inc Past Accepting new patients
SSM Healthcare of Wi Inc Past Accepting new patients

Locations

151 S Sunrise Way
Ste 300
Palm Springs, CA 92262
Phone (760) 834-3593

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

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 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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1346226057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "BLDG B 203",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-674-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S SUNRISE WAY",
            "address_2": "SUITE 300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922620118",
            "telephone_number": "760-969-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBE",
        "first_name": "ANDREW",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1060527",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE PROV #",
            "identifier": "70",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS PROV #",
            "identifier": "391023846",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS PLUS PROV #",
            "identifier": "1009390",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "P00160692",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41990000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.