Active NPI
Kristen Lu, MD
- Psychiatry Physician
- Springfield, IL
National Provider Identifier
1790346682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 332806
- Practice address
- 319 E Madison St FL 3
Springfield, IL 62701-1035 - Phone
- (217) 545-8229
- Fax
- (217) 545-2275
- NPI assigned
- Jun 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA12412100 | NJ | |
| Psychiatry Physician | 2084P0800X | 332806 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 332806 | NY | |
| Psychiatry Physician | 2084P0800X | 25MA12412100 | NJ | |
| Internal Medicine Physician | 207R00000X | 036169928 | IL | |
| Psychiatry Physician | 2084P0800X | 036169928 | IL |
Addresses
Primary practice location
319 E Madison St FL 3
Springfield, IL 62701-1035
Mailing address
PO Box 19642
Springfield, IL 62794-9642
Phone (217) 545-8229
Other practice location 1
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-2000
Other practice location 2
268 Canal St
New York, NY 10013-3599
Phone (212) 941-2213
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northeastern Ohio University College of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125074993 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Past | Accepting new patients | |
| St Josephs Hospital Yonkers | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Community/Behavioral Health Agency
- Springfield, IL
- NPI 1558539882
-
- Psychiatric Hospital Unit
- Yonkers, NY
- NPI 1619032273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1790346682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19642",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949642",
"telephone_number": "217-545-8229",
"fax_number": "217-545-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E MADISON ST FL 3",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011035",
"telephone_number": "217-545-8229",
"fax_number": "217-545-2275"
}
],
"practiceLocations": [
{
"address_1": "375 Seguine Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103093932",
"country_code": "US",
"telephone_number": "718-226-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "268 Canal St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100133599",
"country_code": "US",
"telephone_number": "212-941-2213",
"fax_number": "212-941-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-22",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA12412100",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "332806",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "332806",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA12412100",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036169928",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036169928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.