DR. MITCHELL LOO (DMD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1487901336
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MITCHELL LOO (DMD)
1060 YOUNG ST STE 312
HONOLULU, HI 968141609
Phone: (808) 585-8455
Fax: (808) 585-8458
Type: Mailing
276 BOURET PL
HENDERSON, NV 890123129
Phone: (857) 588-2085
Type: Mailing
2835 SAINT ROSE PKWY STE 100
HENDERSON, NV 890524847
Phone: (702) 900-4780
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $963.
Total Amount is formed as General ($963) + Research ($0) + Ownership ($0) = $963.
Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Straumann USA LLC ($963).
Total Amount
$963
General + Research + Ownership
Payments
5
Total payment records
General Amount
$963
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $963 |
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: 2021-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190324000017 | I | Oral Surgery | HI | TBD |
| I20210301000303 | I | Oral Surgery | MA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96814)
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Reviews
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