SAM LU M.D.
NPI 1710302880
Pediatrics in Oakland, CA
About Sam Lu M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM LU M.D. (NPI 1710302880) is an individual pediatrics provider in Oakland, California, licensed in California (A128751) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sam Lu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Sam Lu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OAKLAND, CA 94609
OAKLAND, CA 94609
OAKLAND, CA 94609
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 Sam Lu's NPI number?
The NPI number for Sam Lu is 1710302880. It was assigned to this individual provider in the NPPES registry on February 26, 2014.
Where is Sam Lu located?
Sam Lu practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3000.
What is Sam Lu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sam Lu enrolled in Medicare?
Yes. Sam Lu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sam Lu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Lu reassigns Medicare benefits to 3 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each 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 Sam 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 Sam Lu was last updated on February 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Sam Lu, M.D. · NPI 1710302880
Pediatrics physician in Oakland, California. Individual provider, active in the CMS NPPES registry since February 26, 2014.
## Identity
- **NPI:** 1710302880 (Entity type: Individual)
- **Enumerated:** February 26, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A128751 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 747 52ND ST, Oakland, CA 94609-1809
- **Phone:** (510) 428-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2017
- **Other identifiers:** Other A128751 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710302880) · Data from the CMS NPPES public registry.