Melvin C. Lu, M.D., LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME70999 Issued in FL

Legal business name

MELVIN C. LU, M.D., LLC

Practice address

10133 Cortez Blvd.
Brooksville, FL 34613-6385

Phone

(352) 596-4401

Fax

(352) 596-4431

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Melvin C Lu, MDNPI 1336287994

Title

Owner/President

Phone

(352) 596-4401

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Lien & Lu, M.D's P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Chia-Hung Lu, M.D.

  • Dermatology Physician
  • Weeki Wachee, FL
  • NPI 1336287994
  Medicare reassignment Care Compare group NPD Authorized official
• Scott Michael Edwards, PA

  • Medical Physician Assistant
  • Brooksville, FL
  • NPI 1548589930
  Medicare reassignment Care Compare group
• Betsy Cooduvalli, DO

  • Dermatology Physician
  • Titusville, FL
  • NPI 1437410230
  NPD (past)
• Mary Lien, M.D.

  • Dermatology Physician
  • Riverside, CA
  • NPI 1417016544
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1679761563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 CORTEZ BLVD.",
            "city": "BROOKSVILLE",
            "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": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136385",
            "telephone_number": "352-596-4401",
            "fax_number": "352-596-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN C. LU, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-596-4401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME70999",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME70999",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME70999",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME70999",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI5866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "38300A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "38300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lien & Lu, M.D's P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kyle Logan Meggison, DO
• Rohit Shori Mehra, DO, MPH, MS
• Meimei Family Acupuncture
• Viviana Aimee Melendez Muniz, MD
• Janie I Melton
• Shannon Ashley Cornett Mendenhall
• Anderson R Mendes, LMT
• Macaria Mercaldi
• Douglas Daniel Mercier, NP-C
• Meridien Research

• Dermatology Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.