Active NPI
Donald L Lum, MD
- Emergency Medicine Physician
- Northfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 28757
- Practice address
- 710 Division St S
Northfield, MN 55057-2468 - Phone
- (507) 646-1494
- NPI assigned
- May 22, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28757 | MN | |
| Emergency Medicine Physician | 207P00000X | 28757 | MN | Primary |
Addresses
Primary practice location
710 Division St S
Northfield, MN 55057-2468
Mailing address
710 Division St S
Northfield, MN 55057-2468
Phone (507) 646-1494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358572700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2014 Jefferson Rd
Suite C
Northfield, MN 55057-3251
Phone (507) 646-6700
4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300
Hospital & facility affiliations
- Northfield Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Hospital | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500
2014 Jefferson Rd
Ste Cd
Northfield, MN 55057
Phone (507) 646-6700
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
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.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- Urgent Care Clinic/Center
- Northfield, MN
- NPI 1437668159
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1881648749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572468",
"telephone_number": "507-646-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572468",
"telephone_number": "507-646-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "DONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2021-03-10",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "28757",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "28757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "358572700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.