AMY KIEUTRAN LUU (MD) – Family Medicine Physician, NPI 1548885247

AMY KIEUTRAN LUU (MD) is a healthcare provider. based in Waco, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. BP10070630 (TX). The NPI Number for AMY KIEUTRAN LUU (MD) is 1548885247

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AMY KIEUTRAN LUU (MD)
NPI
1548885247
Phone
(254) 313-4200
Address
1600 PROVIDENCE DR
Enumeration Date
9 June 2020
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
3035667170
Graduation Year
2020 (6 years ago)
PAC ID
8426431875
Group Practice PAC ID
9436470648
Professional Enrollment ID
I20230605002919
Address ID
CO802281831LA200XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for AMY KIEUTRAN LUU (MD)

  • 1600 PROVIDENCE DR

    WACO, TX 767072261

    Phone: (254) 313-4200

    Fax: (254) 313-4549

    Mailing address matches the actual address.

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: 2023-06-05

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
I20230605002919IFamily PracticeCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
99214Established patient office or other outpatient visit, 30-39 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 76707)

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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: 9436470648View full group profile
NameSpecialtyState
Family PracticeCO
Family PracticeCO
Family PracticeCO
-OR
Family PracticeCO

Reviews

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Frequently asked questions

Where can patients find AMY KIEUTRAN LUU (MD)'s NPI?
You can confirm AMY KIEUTRAN LUU (MD) with NPI 1548885247; it appears in the national provider directory.
Does this profile mean AMY KIEUTRAN LUU (MD) is currently active?
Yes — AMY KIEUTRAN LUU (MD) appears active in the national provider directory.
Does AMY KIEUTRAN LUU (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for AMY KIEUTRAN LUU (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for AMY KIEUTRAN LUU (MD)?
The page summarizes Waco, Texas for AMY KIEUTRAN LUU (MD); expand the address list for detail.
What if Waco, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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