MR. RAPHAEL LU RDN, CDN
NPI 1376498873
Dietitian, Registered in Brooklyn, NY

Active since February 28, 2026
11 MIDWOOD ST APT D4, BROOKLYN, NY 11225(626) 589-5595 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Raphael Lu Rdn, Cdn NPPES

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

MR. RAPHAEL LU RDN, CDN (NPI 1376498873) is an individual dietitian, registered in Brooklyn, New York, licensed in (86105419) and active in the NPI registry since February 2026. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1376498873
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. RAPHAEL LUCredential: RDN, CDN
Location Address11 MIDWOOD ST APT D4Brooklyn, NY 11225-5017
Mailing Address11 Midwood St Apt D4Brooklyn, NY 11225-5017
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
✔ NPI 1376498873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 86105419
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedNutritionistTaxonomy 133N00000X · License 010114-01 (NY)
11 MIDWOOD ST APT D4, Brooklyn, NY 11225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raphael Lu Rdn, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668946872
PECOS Enrollment IDI20260629003873

Medicare Billing Reassignment

Medicare enrollment records show Raphael Lu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
19 W 24TH ST FL 4
New York, NY 10010
  • Reassigned Medicare billing, New York enrollment
  • 36 clinicians in this Medicare group

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

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 Raphael Lu's NPI number?

The NPI number for Raphael Lu is 1376498873. It was assigned to this individual provider in the NPPES registry on February 28, 2026.

Where is Raphael Lu located?

Raphael Lu practices at 11 Midwood St Apt D4, Brooklyn, NY 11225. The listed phone number is (626) 589-5595.

What is Raphael Lu's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Raphael Lu enrolled in Medicare?

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

Which organization bills Medicare for Raphael Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Lu reassigns Medicare benefits to Bsh Health PA (New York, NY). The 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 Raphael 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 Raphael Lu was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.