Katherine Nolan Lu, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01097241A Issued in IN

Practice address

1601 Lafayette Rd Ste 100
Crawfordsville, IN 47933-1032

Phone

(765) 362-1212

Fax

(765) 361-0210

NPI assigned

Mar 25, 2014

Last updated

Nov 3, 2025By the provider in NPPES

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

Other identifiers 1

Other names 1

• Katherine Alyssa Nolan Former name

Medicare fee-for-service enrollment

Enrolled in CA, OH, FL, NC, IN5 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 5

Specialty

Dermatology

Education

Icahn School of Medicine at Mount Sinai, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Wilmington Dermatology Center PLLCGroup PAC ID 0042385627, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHDFAA

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.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  IN, Single Specialty

  Medicare reassignment Care Compare group NPD
• Wilmington Dermatology Center, PLLC

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1750537858

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Baraye

  dba Irvine Dermatology

  • Dermatology Physician
  • Irvine, CA
  • NPI 1760174882

  Single Specialty

  Medicare reassignment NPD
• The Metrohealth System

  dba Metrohealth Professional Group

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896

  Single Specialty

  Medicare reassignment NPD
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Single Specialty

  Medicare reassignment NPD
• Lorrie J Klein MD Apc

  • Dermatology Physician
  • Laguna Niguel, CA
  • NPI 1083631808

  Single Specialty

  NPD
• The Metrohealth System

  dba MetroHealth Brooklyn Memphis Pharmacy

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD
• Athens Medical Group, Inc

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1831205210

  Single Specialty

  NPD (past)
• Dermatology and Plastic Surgery Associates, S.C.

  • Procedural Dermatology Physician
  • Joliet, IL
  • NPI 1700987328

  Single Specialty

  NPD (past)
• J. Robert West, M.D., Inc

  dba West Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997

  Single Specialty

  NPD (past)
• Norman Minars, MD, PA

  • Specialist
  • Hollywood, FL
  • NPI 1831186170

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1720405087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734240",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAFAYETTE RD STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KATHERINE",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A152052",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01097241A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109106700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NOLAN",
            "middle_name": "ALYSSA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Lighty, MA, LMHC
• Dawn Jane Linden
• Lovall and Associates, P.C.
• Alycia Marie Love, CNA
• Kerstyn Lowery, RBT
• Jennifer Lundy, RBT
• Luxottica of America Inc. (Pearle Vision #1878)
• Emily Maiden
• Satyanarayana Marri, M.D.
• Mason Health Care LLC

• Dermatology Physician in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.