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DR. TSZHODERRICK LUM DNP, NP-C
NPI 1346657103
Nurse Practitioner - Family in Staten Island, NY

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
1424 RICHMOND AVE STE C, STATEN ISLAND, NY 10314(718) 701-8103(718) 701-8103 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2023, Jan 3, 2023, Aug 2, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Tszhoderrick Lum Dnp, Np-c NPPES

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

DR. TSZHODERRICK LUM DNP, NP-C (NPI 1346657103) is an individual family provider in Staten Island, New York, licensed in New York (F338988) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346657103
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. TSZHODERRICK LUMCredential: DNP, NP-C
Location Address1424 RICHMOND AVE STE CStaten Island, NY 10314-1527
Mailing Address1424 Richmond Ave Ste CStaten Island, NY 10314-1527 · (718) 701-8103 · Fax (718) 701-8103
Phone(718) 701-8103
Fax(718) 701-8103
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 14, 2014
Last NPPES UpdateApril 11, 20235 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1346657103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F338988✔ Licensed in MD · R192541✔ Licensed in DC · RN1034607✔ Licensed in VA · 0024171969
1424 RICHMOND AVE STE C, Staten Island, NY 10314
Open in Google Maps ↗

Other Identifiers 1

Medicaid04315519NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tszhoderrick Lum Dnp, Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901129717
PECOS Enrollment IDI20160219000768
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$0.26 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.16 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$7.68 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$15.76 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims17 services$10.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

SUQI TANG
Nurse Practitioner (Adult Health)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Richmond County (718) 701-8103
TSZ HO DERRICK LUM FAMILY HEALTH NP, P.C.
Clinic/Center (Primary Care)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Richmond County (646) 763-4574
YINLONG ZHAO
Technician/Technologist (Optician)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Richmond County (347) 393-6741
JADE JIANG NP
Nurse Practitioner (Adult Health)
1424 RICHMOND AVE STE C
STATEN ISLAND, NY 10314
Richmond County (718) 701-8103

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 Tszhoderrick Lum's NPI number?

The NPI number for Tszhoderrick Lum is 1346657103. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Tszhoderrick Lum located?

Tszhoderrick Lum practices at 1424 Richmond Ave Ste C, Staten Island, NY 10314. The listed phone number is (718) 701-8103.

What is Tszhoderrick Lum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tszhoderrick Lum enrolled in Medicare?

Yes. Tszhoderrick Lum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tszhoderrick Lum was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.