Individual provider Active NPI

Joan Luo, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gaithersburg, MD
National Provider Identifier
1851376651
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D56140 Issued in MD
Practice address
8943 Shady Grove CT
Gaithersburg, MD 20877-1308
Phone
(301) 987-8988
Fax
(301) 987-8933
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X D56140 MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X VA0101225846 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D56140 MD Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X VA0101225846 VA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X D56140 MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X VA0101225846 VA

Addresses

Primary practice location

8943 Shady Grove CT
Gaithersburg, MD 20877-1308

Mailing address

8943 Shady Grove CT
Gaithersburg, MD 20877-1308
Phone (301) 987-8988

Other identifiers 2

IdentifierTypeStateIssuer
010101743MedicaidVA
432320300MedicaidMD

Other names 1

  • Joan Luo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110429000166 DC Practitioner - Physical Medicine and Rehabilitation 2062480379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

8943 Shady Grove CT
Gaithersburg, MD 20877-1308
Phone (240) 687-3489

932 Hungerford Dr
Suite 12a
Rockville, MD 20850-1751
Phone (240) 687-3489

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56140MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician
VA0101225846VAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine, Sports Medicine and Pain Management, LLC CurrentSince Feb 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Physical Medicine & Pain Management Associates, P.C. Pain Medicine Past Accepting new patients

Locations

8943 Shady Grove Ct
Gaithersburg, MD 20877
Phone (240) 687-3489

932 Hungerford Dr
Ste 12A
Rockville, MD 20850
Phone (240) 687-3489

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.

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1851376651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8943 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771308",
            "telephone_number": "301-987-8988",
            "fax_number": "301-987-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8943 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771308",
            "telephone_number": "301-987-8988",
            "fax_number": "301-987-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MD",
            "license": "D56140",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "VA",
            "license": "VA0101225846",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D56140",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "VA0101225846",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "D56140",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "VA",
            "license": "VA0101225846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010101743",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432320300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "LUO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.