FANG LU (M.D.) – Diagnostic Radiology Physician, NPI 1114219920

FANG LU (M.D.) is a healthcare provider. based in Little rock, Arkansas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. E-11599 (AR). The NPI Number for FANG LU (M.D.) is 1114219920

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
FANG LU (M.D.)
NPI
1114219920
Phone
(501) 364-1175
Address
1 CHILDRENS WAY # 105
Enumeration Date
11 May 2011
Last Update Date
20 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
8323554112
Graduation Year
2011 (15 years ago)
PAC ID
4183975485
Group Practice PAC ID
6305731118
Professional Enrollment ID
I20220407001170
Address ID
WA980872214LY4706XSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

379 DIAGNOSTIC RADIOLOGY in AR

Provider Addresses for FANG LU (M.D.)

  • 1 CHILDRENS WAY # 105

    LITTLE ROCK, AR 72202

    Phone: (501) 364-1175

    Fax: (501) 364-3549

    Type: Location

  • 1 CHILDRENS WAY # 653

    LITTLE ROCK, AR 722023500

    Phone: (501) 364-1100

    Fax: (501) 364-4082

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180926001207IDiagnostic RadiologyARTBD
I20220407001170IDiagnostic RadiologyWATBD
I20240917000113IDiagnostic RadiologyNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view142141$0
70450Ct scan head or brain without contrast3434$0
74177Ct scan of abdomen and pelvis with contrast2121$0
71275Ct scan of blood vessels of chest with contrast2121$0
72125Ct scan of upper spine without contrast1515$0
View full utilization report →

Insurance plans in this area (ZIP 72202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305731118View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyLA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyTX
-TX
Interventional Cardiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyPA

Reviews

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Frequently asked questions

What is the standard ID for FANG LU (M.D.) in the U.S.?
In the U.S., FANG LU (M.D.) is identified by NPI 1114219920.
Quick check: is FANG LU (M.D.) active?
Public NPPES data shows FANG LU (M.D.) with an active NPI status right now.
Which specialty label fits FANG LU (M.D.)?
NPPES ties FANG LU (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to FANG LU (M.D.)?
FANG LU (M.D.) shows a connection to Little Rock, Arkansas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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