Active NPI
Daniel S Loo, MD
- Dermatology Physician
- North Easton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 161035
- Practice address
- 31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032 - Phone
- (508) 535-3376
- Fax
- (508) 535-3377
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 161035 | MA | Primary |
Addresses
Primary practice location
31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Mailing address
31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone (508) 535-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3198421 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- State University of New York at Stony Brook, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone (508) 238-3774
Hospital & facility affiliations
- Signature Healthcare Brockton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 683 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 19 |
| Skin biopsy | 288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Dermatology Physicians, P.C. | Dermatology | Current | Accepting new patients |
| Boston University Dermatology, Inc. | Dermatology | Past | Accepting new patients |
| Steward Medical Group, Inc | Past | Accepting new patients |
Locations
31 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (508) 238-3774
Organizations & group practices 3
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.
-
- Dermatology Physician
- North Easton, MA
- NPI 1992988703
-
- Dermatology Physician
- Boston, MA
- NPI 1376532853
-
- Specialist
- Watertown, MA
- NPI 1629398219
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1982695573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ROCHE BROS WAY",
"address_2": "SUITE 200",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561032",
"telephone_number": "508-535-3376",
"fax_number": "508-535-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 ROCHE BROS WAY",
"address_2": "SUITE 200",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561032",
"telephone_number": "508-535-3376",
"fax_number": "508-535-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOO",
"first_name": "DANIEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "161035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3198421",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.