Individual provider Active NPI

Lori Koo Trout, MD

  • Family Medicine Physician
  • Altoona, PA
National Provider Identifier
1780769893
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD486245 Issued in PA
Practice address
1701 12TH Ave
Altoona, PA 16601-3100
Phone
(814) 942-9600
Fax
(814) 942-9617
NPI assigned
Oct 26, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD486245 PA Primary

Addresses

Primary practice location

1701 12TH Ave
Altoona, PA 16601-3100

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 942-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040521000625 TX Practitioner - Physician Assistant 6305837972 Reassigns benefits to 1 organization
I20240823002089 PA Practitioner - Family Practice 6305837972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians
Icare MedicalGroup PAC ID 7315118536, 7 clinicians

Practice addresses (Care Compare)

1701 12TH Ave
Altoona, PA 16601-3100
Phone (814) 942-9600

701 Valley View Blvd
Altoona, PA 16602-6340
Phone (814) 799-0866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486245PAMDFamily Medicine Physician
914AKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South East Alaska Regional Health Consortium CurrentSince Nov 8, 2010 Accepting new patients
Primary Health Network CurrentSince Aug 9, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 8, 2010 Accepting new patients
Primary Health Network CurrentSince Aug 9, 2024 Accepting new patients
Primary Health Network Family Medicine Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

1701 12th Ave
Altoona, PA 16601
Phone (814) 942-9600

1701 12th Ave
Ste F
Altoona, PA 16601
Phone (814) 944-8012

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

152 Zeman Dr
Ste 301
Ebensburg, PA 15931
Phone (814) 846-5060

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

Organizations & group practices 7

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 5

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1780769893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-942-9600",
            "fax_number": "814-942-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-942-9600",
            "fax_number": "814-942-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "LORI",
        "middle_name": "KOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD486245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.