DR. TRIA LOR MD
NPI 1215255955
Family Medicine in Brooklyn Center, MN
About Dr. Tria Lor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRIA LOR MD (NPI 1215255955) is an individual family medicine provider in Brooklyn Center, Minnesota, licensed in Minnesota (54834) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of University Of Minnesota Medical School (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tria Lor Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Tria Lor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 60 clinicians in this Medicare group
Roseville, MN 55113
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tria Lor's NPI number?
The NPI number for Tria Lor is 1215255955. It was assigned to this individual provider in the NPPES registry on May 5, 2010.
Where is Tria Lor located?
Tria Lor practices at 5415 Brooklyn Blvd, Brooklyn Center, MN 55429. The listed phone number is (763) 581-5630.
What is Tria Lor's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tria Lor enrolled in Medicare?
Yes. Tria Lor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tria Lor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tria Lor reassigns Medicare benefits to 3 organizations: Fairview Clinics (Fridley, MN), Lifespark Medical Group, PA (St Louis Park, MN) and Healtheast Medical Research Institute (Roseville, MN). Each 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 Tria Lor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tria Lor affiliated with any hospitals?
According to CMS data, Tria Lor is affiliated with M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Tria Lor was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Tria Lor, MD · NPI 1215255955
Family Medicine physician in Brooklyn Center, Minnesota. Individual provider, active in the CMS NPPES registry since May 5, 2010.
## Identity
- **NPI:** 1215255955 (Entity type: Individual)
- **Enumerated:** May 5, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 54834 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5415 BROOKLYN BLVD, Brooklyn Center, MN 55429-3359
- **Phone:** (763) 581-5630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1205017670, Fridley, MN); Lifespark Medical Group, PA (NPI 1427551746, St Louis Park, MN); Healtheast Medical Research Institute (NPI 1053620187, Roseville, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2010
## Record status
- **NPPES last updated:** April 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1215255955) · Data from the CMS NPPES public registry.