NPIMap

Individual provider Active NPI

Jason Travis Loos, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lubbock, TX
National Provider Identifier
1396831772
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M3820 Issued in TX
Practice address
3615 19TH St
Lubbock, TX 79410-1203
Phone
(806) 725-4271
NPI assigned
Oct 5, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M3820 TX Primary

Addresses

Primary practice location

3615 19TH St
Lubbock, TX 79410-1203

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other practice location 1

2000 S Palestine St
Athens, TX 75751-5610
Phone (972) 404-9345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070209000285 TX Practitioner - Pathology 7315949047 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 744-1887

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3820TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 24, 2009 Accepting new patients
Ameripath Lubbock 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince May 6, 2013 Accepting new patients
North Texas Pathology Laboratories LLC Anatomic Pathology & Clinical Pathology CurrentSince Dec 21, 2025 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Aug 25, 2006 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Aug 25, 2006 Accepting new patients
Ameripath Lubbock 5.01(a) Corporation Anatomic Pathology & Clinical Pathology CurrentSince May 6, 2013 Accepting new patients
North Texas Pathology Assoc., PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 24, 2009 Accepting new patients
Ameripath Lubbock 501a Corporation Past Accepting new patients

Locations

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

2709 Hospital Blvd
Grand Prairie, TX 75051
Phone (469) 999-0000

2118 Broadway
Lubbock, TX 79401
Phone (806) 785-7903

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088
Phone (972) 463-7417

Interoperability endpoints

  • Direct secure messaging: jloos355773@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1396831772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101203",
            "telephone_number": "806-725-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757515610",
            "country_code": "US",
            "telephone_number": "972-404-9345",
            "fax_number": "972-404-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOS",
        "first_name": "JASON",
        "middle_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.