Individual provider Active NPI

Lydia An Luu, MD

  • MOHS-Micrographic Surgery Physician
  • Burnsville, MN
National Provider Identifier
1285262170
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
78540 Issued in MN
Practice address
14305 Southcross Dr W Ste 110
Burnsville, MN 55306-7011
Phone
(651) 340-1064
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 78540 MN
MOHS-Micrographic Surgery Physician 207ND0101X 78540 MN Primary

Addresses

Primary practice location

14305 Southcross Dr W Ste 110
Burnsville, MN 55306-7011

Mailing address

576 Bielenberg Dr Ste 200
Woodbury, MN 55125-1735
Phone (651) 209-1600

Other practice location 1

14001 Ridgedale Dr
Hopkins, MN 55305-1753
Phone (763) 316-4407

Other practice location 2

2270 Ford Pkwy Ste 102
Saint Paul, MN 55116-3412
Phone (651) 209-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250724002168 MN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9133544729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Virginia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Dermatology PAGroup PAC ID 3375843089, 9 clinicians

Practice addresses (Care Compare)

14305 Southcross Dr W
Suite 110
Burnsville, MN 55306-7011
Phone (651) 340-1064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions78
Removal of skin cancer55
Removal or shaving of skin growth1-10
Skin biopsy41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78540MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Dermatology, PA Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Dermatology Consultants, PA Dermatology Past Accepting new patients
University Physicians Incorporated Dermatology PastSince Jul 1, 2024 Accepting new patients

Locations

14305 Southcross Dr W
Ste 110
Burnsville, MN 55306
Phone (651) 304-1064

14001 Ridgedale Dr
Ste 300
Minnetonka, MN 55305
Phone (612) 387-4627

Interoperability endpoints

  • Direct secure messaging: lluu2464617@fairview.direct-ci.com
  • Direct secure messaging: lydia.luu.1@20955.direct.athenahealth.com

Organizations & group practices 3

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1285262170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BIELENBERG DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251735",
            "telephone_number": "651-209-1600",
            "fax_number": "651-291-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 SOUTHCROSS DR W STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067011",
            "telephone_number": "651-340-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14001 Ridgedale Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553051753",
            "country_code": "US",
            "telephone_number": "763-316-4407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 Ford Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551163412",
            "country_code": "US",
            "telephone_number": "651-209-1600",
            "fax_number": "651-291-9169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "LYDIA",
        "middle_name": "AN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "78540",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "78540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.