Individual provider Active NPI

Qing Lu McGaha, MD

  • General Practice Physician
  • Clearwater, FL
National Provider Identifier
1184820292
Registry record updated Dec 30, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Apr 18, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME98949 Issued in FL
Practice address
1700 N McMullen Booth Rd Ste C4
Clearwater, FL 33759-2129
Phone
(727) 799-0464
Fax
(727) 286-8970
NPI assigned
Jun 25, 2007
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME98949 FL Primary

Addresses

Primary practice location

1700 N McMullen Booth Rd Ste C4
Clearwater, FL 33759-2129

Mailing address

1700 N McMullen Booth Rd Ste C4
Clearwater, FL 33759-2129
Phone (727) 799-0464

Other identifiers 2

IdentifierTypeStateIssuer
16024OtherFLBCBS
279502700MedicaidFL

Other names 1

  • Qing Lu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98949FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Primary Care, Inc. PastSince Jan 3, 2006 Accepting new patients
Palm Harbor Spine Center Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1184820292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE C4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592129",
            "telephone_number": "727-799-0464",
            "fax_number": "727-286-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE C4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592129",
            "telephone_number": "727-799-0464",
            "fax_number": "727-286-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAHA",
        "first_name": "QING",
        "middle_name": "LU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME98949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16024",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279502700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QING",
            "last_name": "LU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.