Individual provider Active NPI

Eddie Yuti Lo, MD

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1376722017
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A102816 Issued in CA
Practice address
3900 Junius St Ste 740
Dallas, TX 75246-1627
Phone
(972) 817-7420
Fax
(972) 817-7430
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A102816 CA Primary

Addresses

Primary practice location

3900 Junius St Ste 740
Dallas, TX 75246-1627

Mailing address

3900 Junius St Ste 740
Dallas, TX 75246-1627
Phone (972) 817-7420

Other practice location 1

2171 Junipero Serra Blvd Ste 388
Daly City, CA 94014-1985
Phone (650) 993-8349

Other practice location 2

728 Pacific Ave Ste 503
San Francisco, CA 94133-4449
Phone (650) 993-8349

Other practice location 3

1199 Bush St Ste 200
San Francisco, CA 94109-5986
Phone (415) 353-6380

Other practice location 4

900 Hyde St
San Francisco, CA 94109-4806
Phone (415) 353-6400

Other identifiers 1

IdentifierTypeStateIssuer
RES000OtherCARES000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20110817000702 CA Practitioner - Orthopedic Surgery 4183893613 Reassigns benefits to 2 organizations
I20191231000566 TX Practitioner - Orthopedic Surgery 4183893613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3900 Junius St
Suite 740
Dallas, TX 75246-1627
Phone (214) 818-2700

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102816CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 6, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2020 Accepting new patients
County of San Mateo CurrentSince Jul 15, 2018 Accepting new patients
County of San Mateo CurrentSince Jul 15, 2018 Accepting new patients
County of San Mateo CurrentSince Jul 15, 2018 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3900 Junius St
Ste 740
Dallas, TX 75246
Phone (214) 818-2700

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

Interoperability endpoints

  • Direct secure messaging: elo574836@direct.sw.org

Organizations & group practices 7

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 3

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1376722017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 740",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461627",
            "telephone_number": "972-817-7420",
            "fax_number": "972-817-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 740",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461627",
            "telephone_number": "972-817-7420",
            "fax_number": "972-817-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 Junipero Serra Blvd Ste 388",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940141985",
            "country_code": "US",
            "telephone_number": "650-993-8349",
            "fax_number": "650-993-8352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Pacific Ave Ste 503",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334449",
            "country_code": "US",
            "telephone_number": "650-993-8349",
            "fax_number": "650-993-8352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1199 Bush St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095986",
            "country_code": "US",
            "telephone_number": "415-353-6380",
            "fax_number": "415-636-6266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Hyde St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094806",
            "country_code": "US",
            "telephone_number": "415-353-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "EDDIE",
        "middle_name": "YUTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A102816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RES000",
            "identifier": "RES000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.