SOON KHAI LOW
NPI 1023627668
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since July 29, 2020PECOS Enrolled
1425 PORTLAND AVE BLDG 3, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soon Khai Low NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOON KHAI LOW (NPI 1023627668) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023627668
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOON KHAI LOW
Location Address1425 PORTLAND AVE BLDG 3Rochester, NY 14621-3095
Mailing Address1425 Portland Ave Bldg 3Rochester, NY 14621-3095 · (585) 922-4000
Sole ProprietorYes
Enumeration DateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
✔ NPI 1023627668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1425 PORTLAND AVE BLDG 3, Rochester, NY 14621

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soon Khai Low is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Soon Khai Low reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
Nurse Practitioner (Acute Care)
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
General Practice
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soon Khai Low's NPI number?

The NPI number for Soon Khai Low is 1023627668. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Soon Khai Low located?

Soon Khai Low practices at 1425 Portland Ave Bldg 3, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Soon Khai Low's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Soon Khai Low enrolled in Medicare?

Yes. Soon Khai Low is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soon Khai Low's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soon Khai Low reassigns Medicare benefits to Multicare Health System (Spokane Valley, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soon Khai Low's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soon Khai Low accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Soon Khai Low as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soon Khai Low was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.