XIAO LU (DO) – Internal Medicine Physician, NPI 1154855617

XIAO LU (DO) is a healthcare provider. based in Broomfield, Colorado. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 05-44621 (KS). The NPI Number for XIAO LU (DO) is 1154855617

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
XIAO LU (DO)
NPI
1154855617
Phone
Not provided
Address
12382 MEADOWLARK LN
Enumeration Date
11 April 2017
Last Update Date
4 August 2021

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9134988787
Graduation Year
2017 (9 years ago)
PAC ID
6901176064
Group Practice PAC ID
2860635117
Professional Enrollment ID
I20210608003513
Address ID
KS662093722OV5721XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,565 HOSPITALIST in OH

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Provider Addresses for XIAO LU (DO)

  • Meadowlark Lane, Skyestone, City and County of Broomfield, Colorado, 80021, United States

    BROOMFIELD, CO 800214199

    Phone:

    Type: Mailing

  • Saint John Medical Center, 29000, Center Ridge Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 441455219

    Phone: (303) 725-5673

    Type: Location

  • 1823 COLLEGE AVE

    MANHATTAN, KS 665023381

    Phone: (785) 776-3322

    Type: Location

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: 2021-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191022002860IInternal MedicineOHTBD
I20210608003513IHospitalistKSTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4926$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4432$0
99239Hospital discharge day management, more than 30 minutes2828$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 80021)

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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: 2860635117View full group profile
NameSpecialtyState
Internal MedicineKS
Hospitalist, Internal Medicine, Internal MedicineGA
Hospitalist, Internal MedicineKS
Nurse PractitionerKS
Internal MedicineKS
Internal MedicineKS
Nurse PractitionerMO
Internal MedicineKS
Internal MedicineMI
Family PracticeIA

Reviews

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Frequently asked questions

Does XIAO LU (DO) have a public NPI I can cite?
Public records show XIAO LU (DO) under NPI 1154855617.
Is XIAO LU (DO)'s NPI status active today?
Active status means XIAO LU (DO)'s NPI record is not deactivated in the public file.
How should patients interpret XIAO LU (DO)'s specialty?
The extract shows Internal Medicine Physician for XIAO LU (DO). Clinical services aligned with this taxonomy classification.
What city is tied to XIAO LU (DO)?
The directory associates XIAO LU (DO) with Broomfield, Colorado. Check all listed addresses for suites or satellite offices.
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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