DR. ELIAS LU DTCM, AP, APRN
NPI 1417956848
Acupuncturist in North Port, FL

Active since July 18, 2005PECOS Enrolled
5920 PAN AMERICAN BLVD STE 208B, NORTH PORT, FL 34287(888) 354-2758 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2025, Dec 10, 2023, Feb 3, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Elias Lu Dtcm, Ap, Aprn NPPES

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

DR. ELIAS LU DTCM, AP, APRN (NPI 1417956848) is an individual acupuncturist in North Port, Florida, licensed in Florida (AP4251) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417956848
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDR. ELIAS LUCredential: DTCM, AP, APRN
Location Address5920 PAN AMERICAN BLVD STE 208BNorth Port, FL 34287-3412
Mailing Address5753 Highway 85 N Ste 6387Crestview, FL 32536-9365
Sole ProprietorYes
Enumeration DateJuly 18, 2005
Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1417956848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in FL · AP4251
Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11011629 (FL)
5920 PAN AMERICAN BLVD STE 208B, North Port, FL 34287

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elias Lu Dtcm, Ap, Aprn 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417956848, enumerated as an "individual" on July 18, 2005.

The provider is located at 5920 PAN AMERICAN BLVD STE 208B NORTH PORT, FL 34287 and the phone number is (888) 354-2758.

Acupuncturist with taxonomy code 171100000X.