Individual provider Active NPI

Bruce Kenneth Lowell, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Great Neck, NY
National Provider Identifier
1912004805
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
133929-1 Issued in NY
Practice address
1000 Northern Blvd
Great Neck, NY 11021-5312
Phone
(516) 482-0162
Fax
(516) 482-0165
NPI assigned
Sep 20, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 133929-1 NY Primary

Addresses

Primary practice location

1000 Northern Blvd
Great Neck, NY 11021-5312

Mailing address

1000 Northern Blvd
Great Neck, NY 11021-5312
Phone (516) 482-0162

Other identifiers 1

IdentifierTypeStateIssuer
00385433MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040317001417 NY Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 0840180477 Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Preventive Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Northern Blvd
Great Neck, NY 11021-5338
Phone (516) 482-0162

1000 Northern Blvd
Great Neck, NY 11021-5341
Phone (516) 482-0162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as individual
Quality
82.52
Promoting interoperability
100
Improvement activities
40
Cost
60.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133929-1NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Chin,M.D.,P.C. Past Accepting new patients
Union Plaza Nursing Home Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Thomas W Loeb MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bruce.lowell.1@12083.direct.athenahealth.com

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 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1912004805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-482-0162",
            "fax_number": "516-482-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-482-0162",
            "fax_number": "516-482-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWELL",
        "first_name": "BRUCE",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "133929-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00385433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.