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MATTHEW LU MD
NPI 1104568815
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 12, 2022PECOS Enrolled
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-3111(586) 204-0676 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2025, May 26, 2025, Apr 12, 2022 (3 updates tracked since 2022).

About Matthew Lu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW LU MD (NPI 1104568815) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104568815
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW LUCredential: MD
Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-4600
Mailing Address7620 Tallow DrIrving, TX 75063-3400 · (301) 633-7413
Phone(214) 648-3111
Fax(586) 204-0676
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1104568815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Lu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH KASSAB MD, MS
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3111
LEXUS DELICIA WILSON
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-1500
DR. MAAZ AHSAN MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
DANIELA ALVAREZ
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-2168
ACILE NAHLAWI MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
DR. BRANDON WEST YOUSSI MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
KAILYN MAI LE PA-C
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-1701
DR. ASHLYN RENEE TERRELL DO
Anesthesiology
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Lu's NPI number?

The NPI number for Matthew Lu is 1104568815. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Matthew Lu located?

Matthew Lu practices at 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390. The listed phone number is (214) 648-3111.

What is Matthew Lu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Lu enrolled in Medicare?

Yes. Matthew Lu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Lu was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.