1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Pediatrics
  6. NPI Profile

HAIYAN LU
NPI 1225104797
Pediatrics in New York, NY

Active since November 28, 2006PECOS Enrolled
1111 AMSTERDAM AVE, NEW YORK, NY 10025(212) 523-8050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Haiyan Lu NPPES

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

HAIYAN LU (NPI 1225104797) is an individual pediatrics provider in New York, New York, licensed in New York (222119) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225104797
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHAIYAN LU
Location Address1111 AMSTERDAM AVENew York, NY 10025-1716
Mailing Address159 W 53rd St Apt 31dNew York, NY 10019-6005
Phone(212) 523-8050
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225104797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 222119
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1111 AMSTERDAM AVE, New York, NY 10025
Open in Google Maps ↗

Other Identifiers 1

Other222119NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haiyan Lu 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Haiyan Lu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interfaith Professional Physician Services, P.C.
8.9 mi
Surgery
1545 ATLANTIC AVENUE, FACULTY PRACTICE
Brooklyn, NY 11213
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Interfaith Professional Physician Services PC
  • 635 clinicians in this Medicare group
NPI 1457643991 (718) 240-8352
Brookdale Hospital Medical Center
10 mi
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1720028772 (718) 240-8352
University Physicians Of Brooklyn, Inc
10 mi
Anesthesiology
450 CLARKSON AVE
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 291 clinicians in this Medicare group
NPI 1104878180 (718) 270-3083
Brookdale Family Care Center, Inc.
11 mi
Clinic/Center
465 NEW LOTS AVE
Brooklyn, NY 11207
  • Reassigned Medicare billing, New York enrollment
  • 102 clinicians in this Medicare group
NPI 1285758771 (718) 240-8950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. TAKEHIRO KASAHARA D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3171
DR. MELVIN KU M.D.
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3981
RAVI KATARI
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
YAMINI POTINI MD
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
HANNAH KITTRELL RD, CDN
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3618
DR. STANLEY CORTELL M.D.
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
New York County (212) 523-3530
MR. EZEQUIEL JOSUE RODRIGUEZ RPA-C
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
New York County (212) 523-2650
MR. MICHAEL STEPHEN BALLETTA
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-5918

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 Haiyan Lu's NPI number?

The NPI number for Haiyan Lu is 1225104797. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Haiyan Lu located?

Haiyan Lu practices at 1111 Amsterdam Ave, New York, NY 10025. The listed phone number is (212) 523-8050.

What is Haiyan Lu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Haiyan Lu enrolled in Medicare?

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

Which organizations bill Medicare for Haiyan Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haiyan Lu reassigns Medicare benefits to 4 organizations: Interfaith Professional Physician Services, P.C. (Brooklyn, NY), Brookdale Hospital Medical Center (Brooklyn, NY), University Physicians Of Brooklyn, Inc (Brooklyn, NY) and Brookdale Family Care Center, Inc. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haiyan Lu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Haiyan Lu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.