Individual provider Active NPI

Alexander Kuang-Tsu Lu, DO

  • Vascular Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1205397650
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
OS21071 Issued in FL
Practice address
5880 49TH St N Ste 206
St Petersburg, FL 33709-2147
Phone
(727) 999-8346
Fax
(877) 743-4465
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X OS21071 FL Primary

Addresses

Primary practice location

5880 49TH St N Ste 206
St Petersburg, FL 33709-2147

Mailing address

7109 Estero CT
Apollo Beach, FL 33572-2752
Phone (574) 360-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260414001387 FL Practitioner - Vascular Surgery 3072848241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11764 Marco Beach Dr
Suite 9a
Jacksonville, FL 32224-5660

5880 49TH St N
Suite 206
St Petersburg, FL 33709-2147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS21071FLMDVascular Surgery Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1205397650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 ESTERO CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722752",
            "telephone_number": "574-360-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N STE 206",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092147",
            "telephone_number": "727-999-8346",
            "fax_number": "877-743-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "ALEXANDER",
        "middle_name": "KUANG-TSU",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS21071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.