Kepeng Lu, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2995 S Jones Blvd Ste a
Las Vegas, NV 89146-5612

Phone

(702) 805-1880

Fax

(702) 805-1880

NPI assigned

Apr 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Julie Wu IncGroup PAC ID 8628163201, 7 clinicians

Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054

Merit-based Incentive Payment System (MIPS)

Final score

3 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Julie Wu, Inc

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942400494
  Medicare reassignment Care Compare group
• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144
  Medicare reassignment Care Compare group
• Spring Valley Medical Center

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
  • NPI 1568439693
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1295319085

  Hospital

  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942991245

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1861856601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CONGRESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131333",
            "telephone_number": "702-858-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 S JONES BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465612",
            "telephone_number": "702-805-1880",
            "fax_number": "702-805-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 S Jones Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032209",
            "country_code": "US",
            "telephone_number": "702-434-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "KEPENG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1731",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0334",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Lu
• Chea Lu, DO
• Daphne Lu
• Hong Lu
• Jenny Lu
• Lexus Lu, DMD
• Liqun Lu
• Mei Xue Lu
• Muoi Lu
• Ning Lu

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.