CHUNG-CHIEH LO M.D. – NPI #1063705820
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CHUNG-CHIEH LO is a physician located in BASTROP, TX. NPPES has assigned the NPI number 1063705820 to CHUNG-CHIEH LO on May 26, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JASON LO. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 3 years ago on Mar 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHUNG-CHIEH LO below.

NPI Profile for
CHUNG-CHIEH LO

NPI Number
1063705820
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHUNG-CHIEH LO
Other Name: JASON LO
Credentials
M.D.
Primary location
3101 HIGHWAY 71 E STE 211
BASTROP, TX 78602-5157
Phone: (855) 876-7246 Fax: (855) 277-5070
2 Other location(s):
213 Hunters Vlg
New Braunfels, TX 78132-4764
Phone: (855) 876-7246
Fax: (855) 277-5070
205 Woodhew Dr Ste 203
Waco, TX 76712-6679
Phone: (855) 876-7246
Fax: (855) 277-5070
Mailing address
PO BOX 208357
DALLAS, TX 75320-8357
Phone: (512) 485-7208 Fax: (844) 364-8678
Sole Proprietor
No
Updated
Certification Date
Mar 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHUNG-CHIEH LO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPIT PERMIT NUMBERTXBP1 - 0040943
otherTEXAS MEDICAL LICENSETXS0499
otherTEXAS MEDICARETX1K5259
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
TX S0499
207X00000X
- Orthopaedic Surgery
TX BP1 - 0040943

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHUNG-CHIEH LO is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION SETON SMITHVILLE
      1201 HILL RD ATTN: FIN DIR
      SMITHVILLE, TX 78957
    • PROVIDENCE HEALTH CENTER
      6901 MEDICAL PARKWAY
      WACO, TX 76712
    • ST MARKS MEDICAL CENTER
      ONE ST MARK'S PLACE
      LA GRANGE, TX 78945

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.