NPIMap

Individual provider Active NPI

Carlos G Lowell III, D.O.

  • Psychiatry Physician
  • Sandusky, OH
National Provider Identifier
1912938283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34006147 Issued in OH
Practice address
143 E Water St
Sandusky, OH 44870-2525
Phone
(419) 627-9289
Fax
(419) 627-9294
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34006147 OH Primary

Addresses

Primary practice location

143 E Water St
Sandusky, OH 44870-2525

Mailing address

143 E Water St
Sandusky, OH 44870-2525
Phone (419) 627-9289

Other identifiers 1

IdentifierTypeStateIssuer
0160187MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110730000029 OH Practitioner - Psychiatry 3173612991 Practice locations: Sandusky, OH

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firelands Professional CenterSandusky, OH, CCN 360025 Hospital Corporate Director May 7, 2007
Firelands Regional Medical CenterSandusky, OH, CCN 36T025 Hospital Corporate Director May 7, 2007
Firelands Regional Medical Center Home Health ServicesSandusky, OH, CCN 367691 Home health agency Corporate Director May 7, 2007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006147OHMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: carlos.lowell@carloslowell.direct.emds.com

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

143 E Water St
Sandusky, OH 44870-2525
Phone (419) 627-9289

Hospital & facility affiliations

  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025

Merit-based Incentive Payment System (MIPS)

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912938283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E WATER ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702525",
            "telephone_number": "419-627-9289",
            "fax_number": "419-627-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E WATER ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702525",
            "telephone_number": "419-627-9289",
            "fax_number": "419-627-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWELL",
        "first_name": "CARLOS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34006147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160187",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.