Active NPI
Timothy Lo
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
National Provider Identifier
1396372520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312 - Phone
- (702) 671-2329
- NPI assigned
- Mar 26, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Internal Medicine Physician | 207R00000X | 34.016602 | OH |
Addresses
Primary practice location
1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Mailing address
1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Phone (702) 671-2329
Other practice location 1
128 E Apple St Fl 2
Dayton, OH 45409-2902
Phone (937) 208-2004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250821001968 | NV | Order and Referring Only - Pulmonary Disease | 7618398330 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.17 of 100
- Quality
- 65.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1396372520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD STE 230",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022312",
"telephone_number": "702-671-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD STE 230",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022312",
"telephone_number": "702-671-2329"
}
],
"practiceLocations": [
{
"address_1": "128 E Apple St Fl 2",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092902",
"country_code": "US",
"telephone_number": "937-208-2004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LO",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.016602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.