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PAUL MATTHEW LU MD
NPI 1790027654
Internal Medicine in Philadelphia, PA

Active since March 19, 2013PECOS EnrolledAccepts Medicare Assignment
3701 MARKET ST, STE 640, PHILADELPHIA, PA 19104(212) 746-2942(212) 746-4610 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Matthew Lu Md NPPES

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

PAUL MATTHEW LU MD (NPI 1790027654) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD458374) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2013).

NPPES Registry Identity

NPI1790027654
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL MATTHEW LUCredential: MD
Location Address3701 MARKET ST, STE 640Philadelphia, PA 19104-5508
Mailing Address3701 Market St, Ste 640Philadelphia, PA 19104-5508 · (212) 746-2942 · Fax (212) 746-4610
Phone(212) 746-2942
Fax(212) 746-4610
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2013
Enumeration DateMarch 19, 2013
Last NPPES UpdateDecember 5, 2016
✔ NPI 1790027654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD458374
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3701 MARKET ST, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Paul Matthew Lu Md 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 ID6800189085
PECOS Enrollment IDI20160726001186
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 Reassignments

2

Medicare enrollment records show Paul Lu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of The University Of Pennsylvania
0.2 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 199 clinicians in this Medicare group
NPI 1124882949 (215) 662-8000
University Of Penn-Medical Group
0.2 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 752 clinicians in this Medicare group
NPI 1386751089 (215) 662-8000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$3.42 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers23 claims23 services$184.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HETA PATEL MD
Student in an Organized Health Care Education/Training Program
3701 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
HOSPITAL OF THE UNIVERSITY OF PA
Clinic/Center (Ambulatory Fertility Facility)
3701 MARKET ST
PHILA, PA 19104
Philadelphia County (215) 349-5150
REGINA ANN HALLIDAY CRNP
Nurse Practitioner (Women's Health)
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
KAREN J LECKS CRNP
Nurse Practitioner (Obstetrics & Gynecology)
3701 MARKET ST, 8TH FL - REPRODUCTIVE RESEARCH
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7727
MICHAEL CIRIGLIANO MD
Internal Medicine
3701 MARKET ST, 7TH FL STE 741
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5200
SANKEY V WILLIAMS MD
Internal Medicine
3701 MARKET ST, STE 640 6TH FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3795
MICHAEL D GEORGE MD
Internal Medicine (Rheumatology)
3701 MARKET ST, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
DR. DAVOREN ANN CHICK M.D.
Internal Medicine
3701 MARKET ST, STE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250

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 Paul Lu's NPI number?

The NPI number for Paul Lu is 1790027654. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Paul Lu located?

Paul Lu practices at 3701 Market St Ste 640, Philadelphia, PA 19104. The listed phone number is (212) 746-2942.

What is Paul Lu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Lu enrolled in Medicare?

Yes. Paul 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 organizations bill Medicare for Paul Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lu reassigns Medicare benefits to 2 organizations: Trustees Of The University Of Pennsylvania (Philadelphia, PA) and University Of Penn-Medical Group (Philadelphia, PA). 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 Paul Lu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Lu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Lu 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.

Is Paul Lu affiliated with any hospitals?

According to CMS data, Paul Lu is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Paul Lu was last updated on December 5, 2016. 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.