JIMMY CHAMTSUM LU (MD) – Pediatric Cardiology Physician, NPI 1265460141

JIMMY CHAMTSUM LU (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 2006-00286 (NC). The NPI Number for JIMMY CHAMTSUM LU (MD) is 1265460141

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JIMMY CHAMTSUM LU (MD)
NPI
1265460141
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
29 June 2006
Last Update Date
16 April 2010

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
7346478901
Graduation Year
2003 (23 years ago)
PAC ID
0941203517
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20101029001298
Address ID
MI481090999AN1500XLEVE601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

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Provider Addresses for JIMMY CHAMTSUM LU (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    1ST FLOOR MOTT HOSPITAL RECP F

    ANN ARBOR, MI 481095204

    Phone: (734) 764-5176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $347.

Total Amount is formed as General ($347) + Research ($0) + Ownership ($0) = $347.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($198).

Total Amount

$347

General + Research + Ownership

Payments

3

Total payment records

General Amount

$347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101029001298ICardiovascular Disease (Cardiology)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Does JIMMY CHAMTSUM LU (MD) have a public NPI I can cite?
Public records show JIMMY CHAMTSUM LU (MD) under NPI 1265460141.
Does the public listing show JIMMY CHAMTSUM LU (MD) as active?
JIMMY CHAMTSUM LU (MD)'s NPI record reflects an active status in NPPES.
What type of care does JIMMY CHAMTSUM LU (MD) provide?
JIMMY CHAMTSUM LU (MD)'s profile centers on Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JIMMY CHAMTSUM LU (MD)?
JIMMY CHAMTSUM LU (MD) is associated with Ann Arbor, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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