Individual provider Active NPI

Kenneth Lowry, PA-C

  • Medical Physician Assistant
  • Salem, OR
National Provider Identifier
1932773306
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
777 Commercial St SE Ste 130
Salem, OR 97301-0060
Phone
(503) 485-4787
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

777 Commercial St SE Ste 130
Salem, OR 97301-0060

Mailing address

777 Commercial St SE Ste 130
Salem, OR 97301-0060
Phone (503) 485-4787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229000590 OR Practitioner - Physician Assistant 6204227333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Cardiology LLCGroup PAC ID 2466446844, 6 clinicians

Practice addresses (Care Compare)

400 Welch St
Silverton, OR 97381-1934
Phone 5034854787117

777 Commercial St SE
Suite 130
Salem, OR 97301-0060
Phone 5034854787117

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
78.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Cardiology LLC CurrentSince Oct 11, 2021 Accepting new patients
Cascade Cardiology LLC CurrentSince Oct 11, 2021 Accepting new patients

Locations

777 Commercial St SE
Ste 130
Salem, OR 97301
Phone (503) 485-4787

400 Welch St
Silverton, OR 97381
Phone (503) 485-4787

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kenneth.lowry.p20@direct.wvp.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1932773306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 COMMERCIAL ST SE STE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010060",
            "telephone_number": "503-485-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 COMMERCIAL ST SE STE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010060",
            "telephone_number": "503-485-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "KENNETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.