Individual provider Active NPI

Eddie P Lo, D.P.M.

  • Foot Surgery Podiatrist
  • Tacoma, WA
National Provider Identifier
1902847551
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO00000633 Issued in WA
Practice address
2302 S Union Ave Ste B18
Tacoma, WA 98405-1333
Phone
(253) 572-4848
Fax
(253) 572-1803
NPI assigned
Jun 8, 2006
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO00000633 WA Primary

Addresses

Primary practice location

2302 S Union Ave Ste B18
Tacoma, WA 98405-1333

Mailing address

2302 S Union Ave Ste B18
Tacoma, WA 98405-1333
Phone (253) 572-4848

Other identifiers 5

IdentifierTypeStateIssuer
1106012MedicaidWA
8473167MedicaidWA
LO2467OtherWAREGENCE
P00434092OtherWAMEDICARE RAILROAD
215606OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000323 WA Practitioner - Podiatry 9436158912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eddie P Lo DPM and Natalie T Chu DPM PLLCGroup PAC ID 0941200299, 2 clinicians

Practice addresses (Care Compare)

2302 S Union Ave
Suite B18
Tacoma, WA 98405-1333
Phone (253) 572-4848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as individual
Quality
90.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions1-10
Removal of nail tissue1130
Removal or shaving of skin growth1232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eddie P Lo DPM and Natalie T Chu DPM PLLC CurrentSince Jan 1, 2007 Accepting new patients
Mso Washington, Inc. Past Accepting new patients

Locations

1901 S Union Ave
Ste B4001
Tacoma, WA 98405
Phone (206) 309-2299

2302 S Union Ave
Ste B18
Tacoma, WA 98405
Phone (253) 572-4848

Interoperability endpoints

  • Direct secure messaging: eddielo8@epldantcdp-wa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1902847551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE B18",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-572-4848",
            "fax_number": "253-572-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE B18",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-572-4848",
            "fax_number": "253-572-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "EDDIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO00000633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106012",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8473167",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "LO2467",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00434092",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "215606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.