Individual provider Active NPI

Carol Lu, MD

  • Internal Medicine Physician
  • Maplewood, MN
National Provider Identifier
1902986698
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45782 Issued in MN
Practice address
3100 Kennard St
Ste 100
Maplewood, MN 55109-5465
Phone
(651) 232-7800
Fax
(651) 232-7940
NPI assigned
Oct 17, 2006
Last updated
Oct 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45782 MN Primary
Hospitalist Physician 208M00000X 45782 MN

Addresses

Primary practice location

3100 Kennard St
Ste 100
Maplewood, MN 55109-5465

Mailing address

7900 Cobblestone Rd
Ste 100
Woodbury, MN 55125-4328
Phone (651) 338-9402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041025000173 MN Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 4981665882 Reassigns benefits to 3 organizations
I20171005000209 WI Practitioner - Internal MedicinePractitioner - Hospitalist 4981665882 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jan 1, 2016 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Aug 2, 2012 Accepting new patients
Spooner Health System, Inc. CurrentSince Mar 31, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Oct 14, 2018 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 2, 2012 Accepting new patients
Regency Hospital of Minneapolis, LLC CurrentSince Nov 21, 2021 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Allina Health System CurrentSince Jan 1, 2016 Accepting new patients

Locations

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

3100 Kennard St
Ste 100
Saint Paul, MN 55109
Phone (651) 225-5420

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1902986698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 COBBLESTONE RD",
            "address_2": "STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254328",
            "telephone_number": "651-338-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KENNARD ST",
            "address_2": "STE 100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095465",
            "telephone_number": "651-232-7800",
            "fax_number": "651-232-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "45782",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "45782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.