Individual provider Active NPI

Kenneth Kuang Hsin Lo, MD

  • Radiation Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1700897220
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
06858R Issued in LA
Practice address
4950 Essen Lane
Baton Rouge, LA 70809-3482
Phone
(225) 767-0847
Fax
(225) 766-0218
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 06858R LA Primary

Addresses

Primary practice location

4950 Essen Lane
Baton Rouge, LA 70809-3482

Mailing address

4950 Essen Lane
Baton Rouge, LA 70809-3482
Phone (225) 767-0847

Other identifiers 1

IdentifierTypeStateIssuer
1354864MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20081215000011 LA Practitioner - Radiation Oncology 5698673549 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 1, 2017 Accepting new patients
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. Radiation Oncology CurrentSince Jan 1, 2013 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

17050 Medical Center Dr
Fl 1
Baton Rouge, LA 70816
Phone (225) 236-5453

17050 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-5117

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

4950 Essen Ln
St George, LA 70809
Phone (225) 215-1311

Interoperability endpoints

  • Direct secure messaging: klo312046@direct.ochsner.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1700897220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093482",
            "telephone_number": "225-767-0847",
            "fax_number": "225-766-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093482",
            "telephone_number": "225-767-0847",
            "fax_number": "225-766-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "KENNETH",
        "middle_name": "KUANG HSIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "06858R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354864",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.