Individual provider Active NPI

Min Luo, D.O.

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
National Provider Identifier
1962663906
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101021856 Issued in MI
Practice address
1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone
(269) 226-5050
Fax
(269) 226-5034
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101021856 MI Primary
Internal Medicine Physician 207R00000X R-8443 IA

Addresses

Primary practice location

1717 Shaffer St
Kalamazoo, MI 49048-1647

Mailing address

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (269) 552-2836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150708001495 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456543644 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Suite 430
Kalamazoo, MI 49048-1640
Phone (269) 226-5177

1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone (269) 344-5552

420 W High St
Dowagiac, MI 49047-1943

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

Merit-based Incentive Payment System (MIPS)

Final score
78.4 of 100Reported as individual
Quality
92.55
Improvement activities
0
Cost
79.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-8443IAMDInternal Medicine Physician
5101021856MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Jun 5, 2016 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Medical Group Promed CurrentSince Jul 20, 2015 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Nov 1, 2023 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Oct 1, 2023 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Jun 5, 2016 Accepting new patients
Promed Healthcare CurrentSince Jul 20, 2015 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Oct 1, 2023 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1521 Gull Rd
Ste 430
Kalamazoo, MI 49048
Phone (269) 226-5177

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1962663906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016",
            "telephone_number": "269-552-2836",
            "fax_number": "269-552-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-226-5050",
            "fax_number": "269-226-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101021856",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-8443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.