Individual provider Active NPI

Kirtie Lo, M.D.

  • Orthopaedic Hand Surgery Physician
  • Hutchinson, KS
National Provider Identifier
1811159585
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
046645 Issued in CT
Practice address
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone
(620) 662-6000
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 046645 CT Primary

Addresses

Primary practice location

1818 E 23Rd Ave
Hutchinson, KS 67502-1106

Mailing address

1818 E 23Rd Ave
Hutchinson, KS 67502-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20171011000168 MO Practitioner - Orthopedic Surgery 9335279991 Reassigns benefits to 1 organization
I20210719001562 IL Practitioner - General Surgery 9335279991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Illinois, LLCGroup PAC ID 4486877511, 14 clinicians
Healogics Specialty Physicians of Missouri LLCGroup PAC ID 2668791690, 13 clinicians

Practice addresses (Care Compare)

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 622-3407

800 Chambers Rd
Ferguson, MO 63135-2133
Phone (855) 689-5105

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046645CTMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Missouri, LLC CurrentSince Feb 13, 2018 Accepting new patients
Healogics Specialty Physicians of Illinois, LLC CurrentSince Jun 7, 2021 Accepting new patients
Healogics Specialty Physicians of Iowa, LLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

5220 Belfort Rd
Jacksonville, FL 32256
Phone (904) 446-3400

1701 E College Ave
Bloomington, IL 61704
Phone (309) 664-3000

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

998 Woods Mill Rd
Ballwin, MO 63011
Phone (314) 658-3800

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

19550 E 39th St S
Ste 430
Independence, MO 64057
Phone (816) 698-8890

4741 Central St
Kansas City, MO 64112
Phone (816) 265-2551

1032 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 821-6181

2 Nazareth Ln
Saint Louis, MO 63129
Phone (314) 487-3950

10 Hospital Dr
Fl 3
Saint Peters, MO 63376
Phone (314) 576-5545

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 3

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 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1811159585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021106",
            "telephone_number": "620-662-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "KIRTIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "046645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.