Individual provider Active NPI

Donald L Lum, MD

  • Emergency Medicine Physician
  • Northfield, MN
National Provider Identifier
1881648749
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28757 Issued in MN
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

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
358572700MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000494 MN Practitioner - Emergency MedicinePractitioner - Family Practice 9234145731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
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
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

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 Hospital, Northfield, MN, CCN 240014

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital Current Accepting new patients
Northfield Hospital CurrentSince Jan 17, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.