KELLY LO M.D. NPI 1174978977

Internal Medicine in West Hollywood, CA

NPI 1174978977 Individual Female Years of Experience 7 Internal Medicine PECOS Enrolled May Accept Medicare Approved Payment

NPI Profile for KELLY LO M.D.

Kelly Lo is an internal medicine provider established in West Hollywood, California and her medical specialization is internal medicine with more than 7 years of experience. She graduated from University Of Pittsburgh School Of Medicine in 2016. The NPI number of Kelly Lo is 1174978977 and was assigned on April 2016. The practitioner's primary taxonomy code is 207R00000X with license number A156547 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

An internist like Kelly Lo M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kelly Lo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Kelly Lo is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data she has hospital affiliations with Peninsula Medical Center.

NPI

1174978977

Provider Name KELLY LO M.D.
Provider Location Address8700 BEVERLY BLVD # B220 WEST HOLLYWOOD, CA 90048
Provider Mailing AddressPO BOX 54679 LOS ANGELES, CA 90054
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year2016
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-29-2016
Last Update Date06-25-2019


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.A156547
License StateCA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

KELLY LO M.D.
8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA
ZIP 90048
Phone: (310) 423-5252
Fax: (310) 423-8441

Get Directions


Mailing Address

KELLY LO M.D.
PO BOX 54679
LOS ANGELES, CA
ZIP 90054
Phone: (310) 423-5252
Fax: (310) 423-8441



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7618201799
PECOS Enrollment IDI20190624001329
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelly Lo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PENINSULA MEDICAL CENTER1501 TROUSDALE DRIVE
BURLINGAME, CA 94010
(650) 696-5400Acute Care Hospitals50007

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: 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.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174978977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114418716914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 8 + 7 + 1 + 6 + 9 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1174978977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982946034DR. VARDANUSH KETIKIAN M.D.
Individual
Hospitalist8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1497041883DR. SUNG WON LEE M.D.
Individual
Hospitalist8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1588018402 MOHAMMAD SHAHSHAHAN
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1588018865 ANDREA ESTEFANIA CEDENO
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1518313782 BARNEY SOSKIN
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1801241609 MARIA CRISTINA MARIAN
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1619286705 MANISHA SHAKYA SIDDHI MD
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1891173720 RISHI PATEL D.O.
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1194251561 LONG-CO NGUYEN M.D.
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1174059570 JESSICA SIAK M.D.
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1255834008 RAHUL KAMATH
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1689178436 DARREN MORRIS
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1831500628 NOAM BRODER
Individual
Internal Medicine (Hospice and Palliative Medicine)8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1619362233 SUH H LEE M.D.
Individual
Emergency Medicine (Hospice and Palliative Medicine)8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1619470408 RYAN LEE MD
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1598256414DR. JONATHAN H CHUNG MD
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1013259357 ARPIT ARORA MD
Individual
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1598299067 VANDAD SAADAT
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252
1568752152 JACQUELINE CRAIG M.D.
Individual
Internal Medicine8700 BEVERLY BLVD # B220
WEST HOLLYWOOD, CA 90048
(310) 423-5252

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Kelly Lo M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.