KEPENG LU (PA) – Physician Assistant, NPI 1861856601

KEPENG LU (PA) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1731 (NV). The NPI Number for KEPENG LU (PA) is 1861856601

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KEPENG LU (PA)
NPI
1861856601
Phone
(702) 858-3188
Address
38 CONGRESSIONAL CT
Enumeration Date
7 April 2016
Last Update Date
10 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
0042501884
Group Practice PAC ID
4284726159
Professional Enrollment ID
I20160624001302
Address ID
NV891032209La3750XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for KEPENG LU (PA)

  • 38 CONGRESSIONAL CT

    LAS VEGAS, NV 891131333

    Phone: (702) 858-3188

    Type: Mailing

  • 3750 S Jones Blvd Ste 120

    Las Vegas, NV 891032209

    Phone: (702) 434-8880

    Type: Location

  • 2995 S JONES BLVD STE A

    LAS VEGAS, NV 891465612

    Phone: (702) 805-1880

    Fax: (702) 805-1880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,437.

Total Amount is formed as General ($2,437) + Research ($0) + Ownership ($0) = $2,437.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($654).

Total Amount

$2,437

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2016-06-24

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
I20160624001302IPhysician AssistantNVTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,324262$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes32947$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less17572$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8718$0
11046Removal of muscle and/or tissue, each additional 20.0 sq cm or less8627$0
View full utilization report →

Insurance plans in this area (ZIP 89113)

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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: 4284726159View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerWY
Nurse PractitionerUT
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerUT
Nurse PractitionerCA

Reviews

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Frequently asked questions

What number should I use to identify KEPENG LU (PA) for billing?
Administrative and clinical systems typically use NPI 1861856601 for KEPENG LU (PA).
Is KEPENG LU (PA)'s NPI status active today?
Active status means KEPENG LU (PA)'s NPI record is not deactivated in the public file.
How should patients interpret KEPENG LU (PA)'s specialty?
The extract shows Physician Assistant for KEPENG LU (PA). Clinical services aligned with this taxonomy classification.
Which community is linked to KEPENG LU (PA)?
KEPENG LU (PA) shows a connection to Las Vegas, Nevada in registry-derived data.
Why is information missing for KEPENG LU (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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