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KHA LOR MD
NPI 1750223012
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since April 07, 2026PECOS Enrolled
1102 S PARK ST, MADISON, WI 53715(608) 263-3111(608) 263-3111 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kha Lor Md NPPES

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

KHA LOR MD (NPI 1750223012) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750223012
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKHA LORCredential: MD
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address1100 Delaplaine CtMadison, WI 53715-1840 · (608) 263-4550
Phone(608) 263-3111
Fax(608) 263-3111
Sole ProprietorNo
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1750223012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1102 S PARK ST, Madison, WI 53715
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kha Lor Md 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.

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.

CAITLIN J REGNER MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
LEA GARDINER RN
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
ALLISON PLUMMER MSSW
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
JOSE MANUEL CARRILLO MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
JULITA ANNA JANKOWSKA LICENSED PROFESSIONA
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
KETTY THERTUS M.D.
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
RHONDA L SAGER MA, BA, SAC-IT
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111

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 Kha Lor's NPI number?

The NPI number for Kha Lor is 1750223012. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Kha Lor located?

Kha Lor practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 263-3111.

What is Kha Lor's specialty?

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

Is Kha Lor enrolled in Medicare?

Yes. Kha Lor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kha Lor was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.