KAELYN LU – Psychiatry Physician, NPI 1245792548
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
365 PSYCHIATRY in OK
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Provider Addresses for KAELYN LU
5301 E 31ST STREET
TULSA, OK 74135
Phone:
Type: Mailing
1900, Cobblestone Court, Edmond, Oklahoma County, Oklahoma, 73034, United States
EDMOND, OK 730344289
Phone: (405) 326-3188
Type: Mailing
Cityplex Tower 20, 2488, East 81st Street, Walnut Creek, Tulsa, Tulsa County, Oklahoma, 74137, United States
TULSA, OK 741374290
Phone: (918) 236-4000
Type: Location
744 W 9TH ST
TULSA, OK 741279907
Phone:
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: 2020-09-30
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200930001268 | I | Psychiatry | OK | TBD |
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.
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 74135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Psychiatry | OK | |
| - | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Family Practice | OK | |
| Clinical Psychologist | CO | |
| Family Practice | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Osteopathic Manipulative Medicine | OK | |
| Clinical Psychologist | OK |
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