Individual provider Active NPI

Xiao Lu, DO

  • Internal Medicine Physician
  • Manhattan, KS
National Provider Identifier
1154855617
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-44621 Issued in KS
Practice address
1823 College Ave
Manhattan, KS 66502-3381
Phone
(785) 776-3322
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-44621 KS Primary

Addresses

Primary practice location

1823 College Ave
Manhattan, KS 66502-3381

Mailing address

1823 College Ave
Manhattan, KS 66502-3381

Other identifiers 1

IdentifierTypeStateIssuer
201334290AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191022002860 OH Practitioner - Internal Medicine 6901176064 Reassigns benefits to 3 organizations
I20210608003513 KS Practitioner - HospitalistPractitioner - Internal Medicine 6901176064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-44621KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Jul 10, 2020 Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
KC Hospitalists, P.a. Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Internal Medicine CurrentSince Jul 15, 2021 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Jul 15, 2021 Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

7400 W 132nd St
Ste 120
Overland Park, KS 66213

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

11100 Euclid Ave
Cleveland Heights, OH 44106

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

5700 Darrow Rd
Ste 106
Hudson, OH 44236
Phone (330) 576-4295

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1154855617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "XIAO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-44621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201334290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.