Individual provider Active NPI

Gregory T Loo, DPM

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1659360485
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0502 Issued in AZ
Practice address
13838 S 46TH PL
Suite 210
Phoenix, AZ 85044-7800
Phone
(480) 213-3011
Fax
(480) 816-4483
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0502 AZ Primary

Addresses

Primary practice location

13838 S 46TH PL
Suite 210
Phoenix, AZ 85044-7800

Mailing address

13838 S 46TH PL
Suite 210
Phoenix, AZ 85044-7800
Phone (480) 213-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000510 AZ Practitioner - Podiatry 4789611757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13838 S 46TH PL
Suite 115
Phoenix, AZ 85044-7801
Phone (480) 213-3011

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions280
Removal of nail tissue511
Removal or shaving of skin growth240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0502AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Podiatry, PLLC Podiatrist CurrentSince Jun 1, 2011 Accepting new patients
Arizona Respiratory Medicine PC Past Accepting new patients

Locations

1870 W Frye Rd
Ste 1
Chandler, AZ 85224
Phone (480) 821-4701

13838 S 46th Pl
Ste 115
Phoenix, AZ 85044
Phone (480) 213-3011

16841 N 31st Ave
Ste 134
Phoenix, AZ 85053
Phone (623) 322-5001

16841 N 31st Ave
Phoenix, AZ 85053
Phone (928) 533-2816

4530 E Ray Rd
Ste 172
Phoenix, AZ 85044
Phone (480) 759-9191

13838 S 46th Pl
Ste 210
Phoenix, AZ 85044
Phone (480) 213-3011

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1659360485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL",
            "address_2": "SUITE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447800",
            "telephone_number": "480-213-3011",
            "fax_number": "480-816-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL",
            "address_2": "SUITE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447800",
            "telephone_number": "480-213-3011",
            "fax_number": "480-816-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "GREGORY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.