Active NPI
Fei Lu, MD
- Clinical Cardiac Electrophysiology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 01078414A
- Practice address
- 611 E Douglas Rd Ste 208
Mishawaka, IN 46545 - Phone
- (574) 335-6700
- Fax
- (574) 335-0726
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 102309 | WI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01078414A | IN | Primary |
Addresses
Primary practice location
611 E Douglas Rd Ste 208
Mishawaka, IN 46545
Mailing address
707 Cedar St Ste 200
South Bend, IN 46617-2057
Phone (574) 335-8700
Other practice location 1
2235 DuBois Dr Ste B
Warsaw, IN 46580-3212
Phone (260) 432-2297
Other practice location 2
7950 W Jefferson Blvd, Heart Pavilion
Fort Wayne, IN 46804-4140
Phone (260) 432-2297
Other practice location 3
7910 W Jefferson Blvd Ste 120
Fort Wayne, IN 46804-4159
Phone (260) 432-2297
Other practice location 4
7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-2297
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001163780 | Other | IN | BCBS |
| 300002725 | Medicaid | IN | |
| IN1041057 | Other | IN | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 E Douglas Rd
Mishawaka, IN 46545-1465
Phone (574) 335-6000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 40 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Deborah Heart and Lung Center | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Nephrology Associates of Northern Indiana, Inc | Past | Accepting new patients | |
| University of Minnesota Physicians | Past | Accepting new patients |
Locations
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Interoperability endpoints
- flu171920@direct.phci.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- medrecs@deborah.medalliesdirect.net
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
-
- Internal Medicine Physician
- Watertown, WI
- NPI 1629119417
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1841372869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CEDAR ST STE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172057",
"telephone_number": "574-335-8700",
"fax_number": "574-335-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 208",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46545",
"telephone_number": "574-335-6700",
"fax_number": "574-335-0726"
}
],
"practiceLocations": [
{
"address_1": "2235 DuBois Dr Ste B",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "465803212",
"country_code": "US",
"telephone_number": "260-432-2297",
"fax_number": "260-434-6433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7950 W Jefferson Blvd, Heart Pavilion",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-432-2297",
"fax_number": "260-434-6433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7910 W Jefferson Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044159",
"country_code": "US",
"telephone_number": "260-432-2297",
"fax_number": "260-434-6433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7916 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-432-2297",
"fax_number": "260-434-6433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "FEI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "102309",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "01078414A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000001163780",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300002725",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IN1041057",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.