Individual provider Active NPI

Megan E Looby, DO

  • Obstetrics & Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1932137239
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101014702 Issued in MI
Practice address
245 Cherry St SE
Ste 306
Grand Rapids, MI 49503-4607
Phone
(616) 685-8750
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101014702 MI Primary

Addresses

Primary practice location

245 Cherry St SE
Ste 306
Grand Rapids, MI 49503-4607

Mailing address

1870 Silver Spur Rd
Cheyenne, WY 82009-1204

Other identifiers 1

IdentifierTypeStateIssuer
4653800-11MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20171017000966 WY Practitioner - Obstetrics/Gynecology 4284698366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Womens Clinic,PCGroup PAC ID 9436113198, 7 clinicians

Practice addresses (Care Compare)

3952 Parkview Dr
Cheyenne, WY 82001-8102
Phone (307) 367-7700

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101014702MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated PastSince Sep 11, 2017 Accepting new patients
Memorial Hospital of Laramie County Past Accepting new patients
Joseph F. Looby, D.O., P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: megan.looby.1@6429.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 and National Provider Directory roles.

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1932137239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 SILVER SPUR RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820091204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "STE 306",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-685-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOBY",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101014702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4653800-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.