Individual provider Active NPI

Pei W Lu

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1902358823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131779 Issued in TX
Practice address
2020 Nasa Pkwy Ste 220
Houston, TX 77058-3697
Phone
(713) 369-1969
Fax
(713) 369-1969
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131779 TX Primary
Registered Nurse 163W00000X 815629 TX

Addresses

Primary practice location

2020 Nasa Pkwy Ste 220
Houston, TX 77058-3697

Mailing address

2671 Brazos Ridge Dr
Sugar Land, TX 77479-8932
Phone (832) 876-2497

Other practice location 1

2100 Preston St
Ritchmond, TX 77479
Phone (832) 876-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20171117001255 TX Practitioner - Nurse Practitioner 2769748102 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
815629TXMDRegistered Nurse
AP131779TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colon Liver Gastro Consultants PLLC Family CurrentSince Mar 27, 2023 Accepting new patients
M&M Clinical Group CurrentSince Oct 1, 2017 Accepting new patients
Houston Medical and Pain Center, PLLC PastSince Aug 1, 2018 Accepting new patients

Locations

5350 Bellaire Blvd
Unit 355
Bellaire, TX 77402

2020 Nasa Pkwy
Ste 220
Houston, TX 77058

4102 Woodlawn Ave
Ste 230
Pasadena, TX 77504

16651 Southwest Fwy
Ste 370
Sugar Land, TX 77479
Phone (281) 565-1009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4377/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pei.w.lu.1@4377.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902358823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 BRAZOS RIDGE DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798932",
            "telephone_number": "832-876-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NASA PKWY STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583697",
            "telephone_number": "713-369-1969",
            "fax_number": "713-369-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Preston St",
            "address_purpose": "LOCATION",
            "city": "Ritchmond",
            "state": "TX",
            "postal_code": "77479",
            "country_code": "US",
            "telephone_number": "832-876-2497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "PEI W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131779",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "815629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.