Individual provider Active NPI

Kang Lu, M.D.

  • Diagnostic Radiology Physician
  • Fort Lee, VA
National Provider Identifier
1467602953
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME110019 Issued in FL
Practice address
700 24TH St
Kenner Army Health Clinic
Fort Lee, VA 23801-1716
Phone
(804) 734-9118
NPI assigned
Sep 22, 2008
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME110019 FL Primary

Addresses

Primary practice location

700 24TH St
Kenner Army Health Clinic
Fort Lee, VA 23801-1716

Mailing address

4551 Jefferson Pointe LN
Apartment # 5.
Prince George, VA 23875-1478
Phone (253) 223-6793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48135TNMDPharmacist
ME110019FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cal Devon Urgent Care Inc CurrentSince Oct 9, 2025 Accepting new patients
Pacific Mobile Imaging LLC Diagnostic Radiology Past Accepting new patients
American Diagnostics Services LLC Past Accepting new patients
Minutemen Radiology Inc Diagnostic Radiology PastSince Apr 9, 2013 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Symphony Diagnostic Services No 1 LLC Past Accepting new patients

Locations

6208 Oakton St
Morton Grove, IL 60053
Phone (773) 262-5400

Organizations & group practices 6

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1467602953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 JEFFERSON POINTE LN",
            "address_2": "APARTMENT # 5.",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751478",
            "telephone_number": "253-223-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "address_2": "KENNER ARMY HEALTH CLINIC",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.