MK LOTUS MEDICAL LLC
NPI 1376430645
Clinic/Center - Multi-Specialty in Barrigada, GU
About Mk Lotus Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MK LOTUS MEDICAL LLC (NPI 1376430645) is a healthcare organization registered as a multi-specialty in Barrigada, Guam and active in the NPI registry since June 2025. The organization lists Kristine Mae Pasco, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mk Lotus Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mk Lotus Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mk Lotus Medical LLC's NPI number?
The NPI number for Mk Lotus Medical LLC is 1376430645. It was assigned to this organization in the NPPES registry on June 19, 2025.
Where is Mk Lotus Medical LLC located?
Mk Lotus Medical LLC is located at 182 Flores Rosa Loop, Barrigada, GU 96913. The listed phone number is (323) 904-2408.
What is Mk Lotus Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Mk Lotus Medical LLC enrolled in Medicare?
Yes. Mk Lotus Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mk Lotus Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mk Lotus Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mk Lotus Medical LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Mk Lotus Medical Llc · NPI 1376430645
Multi-Specialty organization in Barrigada, GU. Organization record, active in the CMS NPPES registry since June 19, 2025.
## Identity
- **NPI:** 1376430645 (Entity type: Organization)
- **Enumerated:** June 19, 2025
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Kristine Pasco, OWNER
## Practice location
- **Address:** 182 FLORES ROSA LOOP, Barrigada, GU 96913-1247
- **Phone:** (323) 904-2408
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376430645) · Data from the CMS NPPES public registry.