Individual provider Active NPI

Minh Lu, MD

  • Diagnostic Radiology Physician
  • Easton, MD
National Provider Identifier
1841477049
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0079738 Issued in MD
Practice address
219 S Washington St
Easton, MD 21601-2913
Phone
(443) 849-2682
NPI assigned
Jan 30, 2008
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P22032 MD
Diagnostic Radiology Physician 2085R0202X 315288 NY
Diagnostic Radiology Physician 2085R0202X D0079738 MD Primary

Addresses

Primary practice location

219 S Washington St
Easton, MD 21601-2913

Mailing address

918 Eastern Shore Drive
Salisbury, MD 21804
Phone (410) 749-1124

Other practice location 1

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5590

Other practice location 2

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4448

Other practice location 3

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY, KY, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170725002857 MD Practitioner - Diagnostic Radiology 9436314424 Reassigns benefits to 3 organizations
I20220428002358 NY Practitioner - Diagnostic Radiology 9436314424 Reassigns benefits to 2 organizations
I20220907003580 KY Practitioner - Diagnostic Radiology 9436314424 Reassigns benefits to 1 organization
I20230908003569 DC Practitioner - Diagnostic Radiology 9436314424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3283

8107 Westside Blvd
Fulton, MD 20759-2590
Phone (518) 262-3277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P22032MDMDInternal Medicine Physician
TP077KYMDPediatric Emergency Medicine (Pediatrics) Physician
D0079738MDMDDiagnostic Radiology Physician
315288NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 3, 2023 Accepting new patients
T J Samson Community Hospital CurrentSince Sep 5, 2022 Accepting new patients
Ellis Hospital CurrentSince Sep 29, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 19, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 19, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 3, 2023 Accepting new patients
Delmarva Radiology P.a. Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Internal Medicine Past Accepting new patients

Locations

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

10 Martin Ct
Easton, MD 21601
Phone (410) 820-7778

219 S Washington St
Easton, MD 21601

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

918 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 749-1123

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: mlu5043@direct.umm.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1841477049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 EASTERN SHORE DRIVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-749-1124",
            "fax_number": "410-749-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "443-849-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P22032",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "315288",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0079738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.