Individual provider Active NPI

Li Lu, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1770883787
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
259072 Issued in NY
Practice address
745 61St St FL 1
Brooklyn, NY 11220-4211
Phone
(718) 887-5201
NPI assigned
Oct 25, 2010
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 259072 NY Primary

Addresses

Primary practice location

745 61St St FL 1
Brooklyn, NY 11220-4211

Mailing address

745 61St St FL 1
Brooklyn, NY 11220-4211
Phone (718) 887-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000179 NY Practitioner - Internal Medicine 0547430845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

2044 86TH St
FL 1
Brooklyn, NY 11214-3216
Phone (718) 872-7777

4235 Main St
Flushing, NY 11355-3969

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LL Blossoms Medicine PC Current Accepting new patients
LL Blossoms Medical Wellness PC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Chinatown True Care Medical PLLC Single Specialty CurrentSince Nov 23, 2022 Accepting new patients

Locations

745 61st St
Brooklyn, NY 11220

745 61st St
Fl 1
Brooklyn, NY 11220
Phone (718) 333-5537

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

3808 Union St
Ste 5A
Flushing, NY 11354
Phone (718) 888-7907

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

4266 Kissena Blvd
#1
Flushing, NY 11355
Phone (718) 333-5537

139 Centre St
Ste 709
New York, NY 10013
Phone (212) 965-0496

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1770883787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 61ST ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204211",
            "telephone_number": "718-887-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 61ST ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204211",
            "telephone_number": "718-887-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "LI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "259072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.