Active NPI
Eddie Yuti Lo, MD
- Orthopaedic Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A102816
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RES000 | Other | CA | RES000 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
3900 Junius St
Suite 740
Dallas, TX 75246-1627
Phone (214) 818-2700
Hospital & facility affiliations
- Baylor University Medical Center
- Methodist Hospital for Surgery
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| A102816 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | 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
- 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.