DR. MICHAEL DANIEL LUM MD
NPI 1376030650
Internal Medicine in Stony Brook, NY

Active since April 22, 2018PECOS EnrolledAccepts Medicare Assignment
101 NICHOLLS ROAD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2021, Apr 22, 2018 (2 updates tracked since 2018).

About Dr. Michael Daniel Lum Md NPPES

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

DR. MICHAEL DANIEL LUM MD (NPI 1376030650) is an individual internal medicine provider in Stony Brook, New York, licensed in New York (309986) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1376030650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL DANIEL LUMCredential: MD
Location Address101 NICHOLLS ROADStony Brook, NY 11794
Mailing Address1705 Saddle Rock RdHolbrook, NY 11741-4824 · (631) 793-0312
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 22, 2018
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
NPI 1376030650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 309986
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

101 NICHOLLS ROAD, Stony Brook, NY 11794

Secondary Practice Location 1

Location 1101 Nicolls RdStony Brook, NY 11794-0001 · Phone (631) 689-8333

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. Michael Daniel Lum Md 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 ID9335478130
PECOS Enrollment IDI20240801002764
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
245 services89 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
81 services79 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.
32 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Nurse Practitioner (Acute Care)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Physician Assistant
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Psychiatry & Neurology (Neurology)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Physician Assistant
101 NICHOLLS ROAD
STONY BROOK, NY 11794

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 Michael Lum's NPI number?

The NPI number for Michael Lum is 1376030650. It was assigned to this individual provider in the NPPES registry on April 22, 2018.

Where is Michael Lum located?

Michael Lum practices at 101 Nicholls Road, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Michael Lum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Lum enrolled in Medicare?

Yes. Michael 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.

Is Michael Lum affiliated with any hospitals?

According to CMS data, Michael Lum is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lum was last updated on July 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.