Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FREDERICK QIAO LU MD
NPI 1407540552
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since June 02, 2023PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Frederick Qiao Lu Md NPPES

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

FREDERICK QIAO LU MD (NPI 1407540552) is an individual student in an organized health care education/training program in Worcester, Massachusetts, licensed in Massachusetts (3021305) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407540552
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFREDERICK QIAO LUCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Enumeration DateJune 2, 2023
Last NPPES UpdateJune 21, 20262 updates tracked since enumeration
NPPES CertifiedJune 21, 2026
NPI 1407540552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MA · 3021305
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.
55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Frederick Qiao 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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Frederick Lu's NPI number?

The NPI number for Frederick Lu is 1407540552. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Frederick Lu located?

Frederick Lu practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Frederick 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 Frederick Lu enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Frederick Lu was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.