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MARY W. LU, MD, LLC
NPI 1609412204
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since November 19, 2019
1942 NW KEARNEY ST STE 24, PORTLAND, OR 97209(971) 350-8968 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary W. Lu, Md, Llc NPPES

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

MARY W. LU, MD, LLC (NPI 1609412204) is a healthcare organization registered as a psychiatry in Portland, Oregon and active in the NPI registry since November 2019. The organization lists Mary Lu, Member, as its authorized official.

NPPES Registry Identity

NPI1609412204
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMARY W. LU, MD, LLC
Location Address1942 NW KEARNEY ST STE 24Portland, OR 97209-1465
Mailing Address2908 Nw Thurman StPortland, OR 97210-1941 · (350) 971-8968
Phone(971) 350-8968
Organization SubpartNo
Authorized OfficialMary LuMember · (971) 350-8968
Enumeration DateNovember 19, 2019
✔ NPI 1609412204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1942 NW KEARNEY ST STE 24, Portland, OR 97209
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Other Identifiers 1

Other1336228386Npi Type 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary W. Lu, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary W. Lu, MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Lu, M.D.
Psychiatry
NPI 1336228386
1942 NW KEARNEY ST STE 24
Portland, OR 97209
(971) 350-8968
✔ PECOSSame address

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 Mary W. Lu, MD, LLC's NPI number?

The NPI number for Mary W. Lu, MD, LLC is 1609412204. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Mary W. Lu, MD, LLC located?

Mary W. Lu, MD, LLC is located at 1942 NW Kearney St Ste 24, Portland, OR 97209. The listed phone number is (971) 350-8968.

What is Mary W. Lu, MD, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary W. Lu, MD, LLC enrolled in Medicare?

Yes. Mary W. Lu, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary W. Lu, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mary W. Lu, MD, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mary W. Lu, MD, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mary W. Lu, MD, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary W. Lu, MD, LLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.