Active NPI
Conrad Calvin Lo, P.A.-C.
- Surgical Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA6897
- Practice address
- 2 Medical Center Dr
Springfield, MA 01107-1270 - Phone
- (413) 794-5600
- Fax
- (413) 794-5242
- NPI assigned
- Aug 23, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA6897 | MA | Primary |
| Physician Assistant | 363A00000X | 085-002461 | IL | |
| Physician Assistant | 363A00000X | 0110007542 | VA |
Addresses
Primary practice location
2 Medical Center Dr
Springfield, MA 01107-1270
Mailing address
280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
324 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 398-9491
Other practice location 2
1080 First Colonial Rd Ste 400
Virginia Beach, VA 23454-2406
Phone (757) 395-8720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Medical Branch at Galveston, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Sentara Cir
Williamsburg, VA 23188-5713
100 Sentara Circle
SMG Division of Hospital Medicine William
Wiliamsburg, VA 23188-5713
Phone (757) 984-7217
2 Medical Ctr Dr
Springfield, MA 01107-1270
Phone (413) 794-8020
600 Gresham Dr
Norfolk, VA 23507-1904
830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860
850 Kempsville Rd
Norfolk, VA 23502-3920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002461 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients |
Locations
301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1080 First Colonial Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 395-1880
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1881701365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST FL 2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700",
"fax_number": "413-794-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071270",
"telephone_number": "413-794-5600",
"fax_number": "413-794-5242"
}
],
"practiceLocations": [
{
"address_1": "324 Roxbury Rd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611075090",
"country_code": "US",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1080 First Colonial Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234542406",
"country_code": "US",
"telephone_number": "757-395-8720",
"fax_number": "757-395-8821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LO",
"first_name": "CONRAD",
"middle_name": "CALVIN",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "PA6897",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-002461",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007542",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.