DR. GUSTAV JALIANG LO M.D.
NPI 1568519635
General Practice in Petoskey, MI

Active since January 04, 2007
116 W MITCHELL ST, PETOSKEY, MI 49770(231) 348-2828(231) 348-9609 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gustav Jaliang Lo M.d. NPPES

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

DR. GUSTAV JALIANG LO M.D. (NPI 1568519635) is an individual general practice provider in Petoskey, Michigan, licensed in Michigan (4301053321) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1568519635
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GUSTAV JALIANG LOCredential: M.D.
Location Address116 W MITCHELL STPetoskey, MI 49770-2324
Mailing Address116 W Mitchell StPetoskey, MI 49770-2324 · (231) 348-2828 · Fax (231) 348-9609
Fax(231) 348-9609
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 10, 2011
NPI 1568519635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MI · 4301053321
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
116 W MITCHELL ST, Petoskey, MI 49770

Other Identifiers 2

Medicare ID-Type Unspecified0M62080001MI
Medicare UPINE19830MI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
54%866 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Nurse Practitioner (Family)
116 W MITCHELL ST
PETOSKEY, MI 49770
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
General Practice
116 W MITCHELL ST
PETOSKEY, MI 49770
Nurse Practitioner
116 W MITCHELL ST
PETOSKEY, MI 49770
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Physician Assistant
116 W MITCHELL ST
PETOSKEY, MI 49770

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 Gustav Lo's NPI number?

The NPI number for Gustav Lo is 1568519635. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Gustav Lo located?

Gustav Lo practices at 116 W Mitchell St, Petoskey, MI 49770. The listed phone number is (231) 348-2828.

What is Gustav Lo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gustav Lo was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.