MEDICARE: KEVIN MICHAEL LOWE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	01074552A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP NUMBER
6	9382831	OTHER	OH	ACUTE CARE SURGERY SERVICE AT AKRON GENERAL MEDICARE #
7	H008171	OTHER	OH	ACUTE CARE SURGERY SERVICE INDIVIDUAL MEDICARE #
8	IN4866029	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	1376779702	OTHER	OH	ACUTE CARE SURGERY SERVICE AT AKRON GENERAL TYPE 2 NPI #
10	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI NUMBER

General Provider Information

NPI Number	:	1376658864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MICHAEL LOWE MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7230 ENGLE RD STE 100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-2234
Country	:	US
Telephone Number	:	260-234-5400
Fax Number	:	260-234-5435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	01/10/2024

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Directions to “ KEVIN MICHAEL LOWE MD” Practice Location

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