Grace Kim-Lu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME128787 Issued in FL

Practice address

1561 S Alafaya TRL
Suite 400
Orlando, FL 32828-8956

Phone

(407) 249-1234

Fax

(407) 249-1755

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Saltzman, Tanis, Pittel, Levin and Jacobson, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1811646565
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1497856264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 S ALAFAYA TRL",
            "address_2": "SUITE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288956",
            "telephone_number": "407-249-1234",
            "fax_number": "407-249-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 S ALAFAYA TRL",
            "address_2": "SUITE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288956",
            "telephone_number": "407-249-1234",
            "fax_number": "407-249-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM-LU",
        "first_name": "GRACE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "204167",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Kilgallon
• Briana Kiliku
• Kristi Leah Killingsworth, M.D.
• Angela Kilmartin, COTA/L
• Seymour S Kilstein, D.O.
• Brandy Drake Kim, M.D.
• Cherry Kim, MACOM, AP
• Chin K Kim, MD
• Daniel Chan Kim, DO, MBA
• Erin Eunah Kim, PMHNP, FNP

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.