Individual provider Active NPI

Kaelyn Lu

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1245792548
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7006 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9907
Phone
(918) 236-4000
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7006 OK Primary

Addresses

Primary practice location

744 W 9TH St
Tulsa, OK 74127-9907

Mailing address

5301 E 31St Street
Tulsa, OK 74135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200930001268 OK Practitioner - Psychiatry 1052730785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

042 Murray
Stillwater, OK 74078-0001

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University CurrentSince Nov 1, 2023 Accepting new patients
Oklahoma State University Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Oklahoma State University Current Accepting new patients
State of Oklahoma Current Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

170 Athletics Ctr
Stillwater, OK 74078
Phone (405) 744-2112

1202 W Farm Rd
Stillwater, OK 74078
Phone (405) 744-7024

5310 E 31st St
Ste Ll
Tulsa, OK 74135
Phone (918) 236-4000

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

Dept 2563
Tulsa, OK 74182

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

Interoperability endpoints

  • Direct secure messaging: klu108724@direct.saintfrancis.com

Organizations & group practices 4

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1245792548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E 31ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279907",
            "telephone_number": "918-236-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.