Individual provider Active NPI

Melvin Chia-Hung Lu, M.D.

  • Dermatology Physician
  • Weeki Wachee, FL
National Provider Identifier
1336287994
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 70999 Issued in FL
Practice address
10133 Cortez Blvd
Weeki Wachee, FL 34613-6385
Phone
(352) 596-4401
Fax
(352) 596-4431
NPI assigned
Feb 2, 2007
Last updated
Jan 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 70999 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME 70999 FL
Dermatopathology Physician 207ND0900X ME 70999 FL
Procedural Dermatology Physician 207NS0135X ME 70999 FL

Addresses

Primary practice location

10133 Cortez Blvd
Weeki Wachee, FL 34613-6385

Mailing address

10133 Cortez Blvd
Weeki Wachee, FL 34613-6385
Phone (352) 596-4401

Other identifiers 5

IdentifierTypeStateIssuer
CI5866OtherMEDICARE RAILROAD GRP #
38300OtherBCBS GROUP NUMBER
38300AOtherBCBS GROUP NUMBER
31381OtherBCBS PROVIDER NUMBER
070012943OtherMEDICARE RAILROAD

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
I20120427000282 FL Practitioner - Dermatology 7517910920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melvin C Lu MD LLCGroup PAC ID 3476506882, 2 clinicians

Practice addresses (Care Compare)

10133 Cortez Blvd
Weeki Wachee, FL 34613-6385
Phone (352) 596-4401

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision279
Removal of tissue1-10
Removal of skin lesions1216
Removal or shaving of skin growth1-10
Skin biopsy347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 70999FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin C. Lu, M.D., LLC Dermatology CurrentSince Feb 5, 1999 Accepting new patients

Locations

3633 Little Rd
Ste 103
Trinity, FL 34655
Phone (352) 293-2810

10133 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4401

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1336287994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136385",
            "telephone_number": "352-596-4401",
            "fax_number": "352-596-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 CORTEZ BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136385",
            "telephone_number": "352-596-4401",
            "fax_number": "352-596-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "MELVIN",
        "middle_name": "CHIA-HUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 70999",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME 70999",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME 70999",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME 70999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GRP #",
            "identifier": "CI5866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "38300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "38300A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "31381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "070012943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.