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BAO TRAM DESERIE LU DPM
NPI 1649446378
Podiatrist - Foot & Ankle Surgery in Mountain View, CA

Active since May 02, 2008PECOS EnrolledAccepts Medicare Assignment
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040(650) 934-3519 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bao Tram Deserie Lu Dpm NPPES

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

BAO TRAM DESERIE LU DPM (NPI 1649446378) is an individual foot & ankle surgery provider in Mountain View, California, licensed in Illinois (016.005339) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649446378
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameBAO TRAM DESERIE LUCredential: DPM
Location Address701 E EL CAMINO REALMountain View, CA 94040-2833
Mailing Address701 E El Camino RealMountain View, CA 94040-2833 · (650) 934-3519
Phone(650) 934-3519
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 2, 2008
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1649446378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016.005339
701 E EL CAMINO REAL, Mountain View, CA 94040
Open in Google Maps ↗

Other Names 1

Professional Name (2)Bao Tram Deserie Lu Dpm

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bao Tram Deserie Lu Dpm 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 ID749326361
PECOS Enrollment IDI20091012000317
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.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
272 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

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

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.

JULIA A CRONIN MD
Allergy & Immunology (Allergy)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 934-7888
TIMOTHY NIEH DO
Family Medicine
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 404-8370
BRYAN HWANG MD
Radiology (Diagnostic Radiology)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 934-7700
JOHN EARLE BARNES MD
Psychiatry & Neurology (Neurology)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 934-7300
DR. NATE EUGENE KELLY M.D.
Anesthesiology
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 404-8444
ERIKA DESHMUKH MS, RD
Dietitian, Registered
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 934-7177
DR. SERGIO ALVAREZ MD
Emergency Medicine (Sports Medicine)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 934-7111
ANUSHKA DAS MD
Pediatrics
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 934-7090

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 Bao Tram Lu's NPI number?

The NPI number for Bao Tram Lu is 1649446378. It was assigned to this individual provider in the NPPES registry on May 2, 2008. The provider is also known as Bao Tram Deserie Lu Dpm.

Where is Bao Tram Lu located?

Bao Tram Lu practices at 701 E El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 934-3519.

What is Bao Tram Lu's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Bao Tram Lu enrolled in Medicare?

Yes. Bao Tram Lu 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.

Which organization bills Medicare for Bao Tram Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bao Tram Lu reassigns Medicare benefits to Southern California Permanente Medical Group (Oxnard, CA). 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 Bao Tram 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 Bao Tram Lu was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.