Individual provider Active NPI

Khang Lu, MD

  • Otolaryngology Physician
  • Anchorage, AK
National Provider Identifier
1710421755
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
32052 Issued in NE
Practice address
5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone
(907) 580-1154
NPI assigned
Dec 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 32052 NE Primary

Addresses

Primary practice location

5955 Zeamer Ave
Anchorage, AK 99506-3702

Mailing address

5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone (714) 933-0571

Other practice location 1

1100 E Dimond Blvd Ste 201
Anchorage, AK 99515-2001
Phone (907) 348-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230418000057 TX Practitioner - Otolaryngology 4587039961 Reassigns benefits to 3 organizations
I20241206003594 AK Practitioner - Otolaryngology 4587039961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians
Resound ENT LLCGroup PAC ID 4183106180, 4 clinicians

Practice addresses (Care Compare)

1100 E Dimond Blvd
Anchorage, AK 99515-2010
Phone (907) 864-4625

1100 E Dimond Blvd
Suite 201
Anchorage, AK 99515-2001
Phone (907) 348-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC CurrentSince Jan 1, 2025 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 5, 2023 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jan 5, 2023 Accepting new patients
Medical Network of Alaska, LLC Otolaryngology CurrentSince Jan 1, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 11, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 11, 2024 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 30, 2023 Accepting new patients
Vpa of Texas PLLC General Practice CurrentSince Jan 5, 2023 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients

Locations

1100 E Dimond Blvd
Ste 201
Anchorage, AK 99515
Phone (907) 279-8800

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

1100 E Dimond Blvd
Anchorage, AK 99515
Phone (907) 565-6000

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3066 E Meridian Park Loop
Ste 2
Wasilla, AK 99654
Phone (907) 357-9560

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: khang.lu.1@27294.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1710421755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "714-933-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Dimond Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995152001",
            "country_code": "US",
            "telephone_number": "907-348-2800",
            "fax_number": "833-450-5754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "KHANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "32052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.