Individual provider Active NPI

Charles Edward Lohr III, M.D.

  • Vascular & Interventional Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1649413584
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD2010-0484 Issued in NM
Practice address
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone
(505) 332-6900
Fax
(505) 332-6921
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 47749 CO
Vascular & Interventional Radiology Physician 2085R0204X 183820 PA
Vascular & Interventional Radiology Physician 2085R0204X MD2010-0484 NM Primary

Addresses

Primary practice location

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857

Mailing address

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone (505) 332-6900

Other identifiers 1

IdentifierTypeStateIssuer
83852MedicaidNM

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226000779 CA Practitioner - Interventional Radiology 2163575911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oroville HospitalGroup PAC ID 1254234339, 93 clinicians

Practice addresses (Care Compare)

2767 Olice Hwy
Oroville, CA 95966-6118
Phone (530) 533-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47749COMDVascular & Interventional Radiology Physician
183820PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oroville Hospital CurrentSince Feb 8, 2016 Accepting new patients
Oroville Hospital Current Accepting new patients

Locations

2767 Olive Hwy
Ste 12
Oroville, CA 95966
Phone (530) 532-8260

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

Organizations & group practices 2

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 4

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1649413584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE",
            "address_2": "SUITE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095857",
            "telephone_number": "505-332-6900",
            "fax_number": "505-332-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE",
            "address_2": "SUITE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095857",
            "telephone_number": "505-332-6900",
            "fax_number": "505-332-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHR",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "47749",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "183820",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2010-0484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83852",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.