WALTER LO SIA SU (MD) – Hospitalist Physician, NPI 1477542371

WALTER LO SIA SU (MD) is a healthcare provider. based in St cloud, Minnesota. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 37684 (MN). The NPI Number for WALTER LO SIA SU (MD) is 1477542371

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
WALTER LO SIA SU (MD)
NPI
1477542371
Phone
(320) 251-2700
Address
1200 6TH AVE N
Enumeration Date
14 October 2005
Last Update Date
21 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
2466499744
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20050408000871
Address ID
MN563031901ST1406XNOXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

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Provider Addresses for WALTER LO SIA SU (MD)

  • 1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    CENTRA CARE CLINIC

    ST CLOUD, MN 563032735

    Phone: (320) 251-2700

    Fax: (320) 240-2118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050408000871IInternal MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes165164$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6036$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4427$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4141$0
99239Hospital discharge day management, more than 30 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466363395View full group profile

Reviews

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Frequently asked questions

Does WALTER LO SIA SU (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WALTER LO SIA SU (MD) uses 1477542371.
Is WALTER LO SIA SU (MD) listed as active for patients and plans?
The listing shows WALTER LO SIA SU (MD) as active in the NPI system.
What is WALTER LO SIA SU (MD) best known for clinically?
Directory data describes WALTER LO SIA SU (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is WALTER LO SIA SU (MD) based?
WALTER LO SIA SU (MD) is tied to St Cloud, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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