Individual provider Active NPI

Michael C. Luu, D.O.

  • Pulmonary Disease Physician
  • Vallejo, CA
National Provider Identifier
1235244146
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20A7354 Issued in CA
Practice address
2920 Sonoma Blvd
Suite C
Vallejo, CA 94590-3875
Phone
(707) 643-0400
NPI assigned
Aug 20, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A7354 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20A7354 CA
Pulmonary Disease Physician 207RP1001X 20A7354 CA Primary

Addresses

Primary practice location

2920 Sonoma Blvd
Suite C
Vallejo, CA 94590-3875

Mailing address

2920 Sonoma Blvd
Suite C
Vallejo, CA 94590-3875
Phone (707) 643-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040731000375 CA Practitioner - Critical Care (Intensivists)Practitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Pulmonary Disease 1153392543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Interventional Pain Management, Osteopathic Manipulative Medicine, Pulmonary Disease
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2920 Sonoma Blvd
Suite C
Vallejo, CA 94590-3875

2920 Sonoma Blvd C
Vallejo, CA 94590-3875
Phone (707) 643-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luu Medical Group CurrentSince Jan 5, 2005 Accepting new patients

Locations

2920 Sonoma Blvd
Ste C
Vallejo, CA 94590
Phone (707) 643-0400

Interoperability endpoints

  • Direct secure messaging: mluu229156@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1235244146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SONOMA BLVD",
            "address_2": "SUITE C",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903875",
            "telephone_number": "707-643-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SONOMA BLVD",
            "address_2": "SUITE C",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903875",
            "telephone_number": "707-643-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7354",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A7354",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A7354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.