Active NPI
Gregory T Loo, DPM
- Podiatrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0502
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of skin lesions | 280 |
| Removal of nail tissue | 511 |
| Removal or shaving of skin growth | 240 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0502 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Podiatry, PLLC | Podiatrist | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Chandler, AZ
- NPI 1003040148
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.