Individual provider Active NPI

Kathy M Lue, M.D.

  • Urology Physician
  • Sandusky, OH
National Provider Identifier
1457714727
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.141008 Issued in OH
Practice address
2800 Hayes Ave BLDG D
Sandusky, OH 44870-7252
Phone
(419) 627-8771
Fax
(419) 627-0363
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.141008 OH Primary

Addresses

Primary practice location

2800 Hayes Ave BLDG D
Sandusky, OH 44870-7252

Mailing address

272 Benedict Ave
Norwalk, OH 44857-2374

Other identifiers 1

IdentifierTypeStateIssuer
0447125MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210819003828 OH Practitioner - Urology 4789089319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

278 Benedict Ave
Suite 650
Norwalk, OH 44857-2720
Phone (419) 668-4328

Hospital & facility affiliations

  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.141008OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC CurrentSince Aug 30, 2021 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients

Locations

1355 W Main St
Ste D
Bellevue, OH 44811
Phone (419) 483-1001

278 Benedict Ave
Ste 650
Norwalk, OH 44857
Phone (419) 660-9675

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

2800 Hayes Ave
Bldg D
Sandusky, OH 44870
Phone (419) 627-8771

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1457714727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE BLDG D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707252",
            "telephone_number": "419-627-8771",
            "fax_number": "419-627-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUE",
        "first_name": "KATHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.141008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.