JEFFREY KENNETH LU (MD) – Pediatric Anesthesiology Physician, NPI 1750471363

JEFFREY KENNETH LU (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 178632-1205 (UT). The NPI Number for JEFFREY KENNETH LU (MD) is 1750471363

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY KENNETH LU (MD)
NPI
1750471363
Phone
(801) 213-3800
Address
PO BOX 413034
Enumeration Date
13 October 2006
Last Update Date
5 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
8015853229
Graduation Year
1987 (39 years ago)
PAC ID
1850300617
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20060406000444
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
jlu39525@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

565 ANESTHESIOLOGY in UT

Provider Addresses for JEFFREY KENNETH LU (MD)

  • PO BOX 413034

    SALT LAKE CITY, UT 841413034

    Phone: (801) 213-3800

    Type: Mailing

  • SOM-3C444 UNIV UTAH DEPT ANESTHESIOLOGY

    30 NORTH 1900 EAST

    SALT LAKE CITY, UT 841320001

    Phone: (801) 581-6393

    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: 2006-04-06

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
I20060406000444IAnesthesiologyUTTBD

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
00142Anesthesia for lens surgery119112$0
00140Anesthesia for other procedure on eye3838$0
00145Anesthesia for retinal surgery2222$0
View full utilization report →

Insurance plans in this area (ZIP 84141)

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Provider's Procedures

JEFFREY KENNETH LU (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYUT00142Anesthesia for lens surgery1111
ANESTHESIOLOGYUT36556Insertion of central venous catheter for infusion, patient 5 years or older2419

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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
Physician AssistantUT

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Frequently asked questions

Where can patients find JEFFREY KENNETH LU (MD)'s NPI?
You can confirm JEFFREY KENNETH LU (MD) with NPI 1750471363; it appears in the national provider directory.
Is JEFFREY KENNETH LU (MD) currently active in the NPI registry?
CMS-published data lists JEFFREY KENNETH LU (MD) as an active registrant.
What kind of provider is JEFFREY KENNETH LU (MD)?
The page reflects Pediatric Anesthesiology Physician for JEFFREY KENNETH LU (MD). Clinical services aligned with this taxonomy classification.
Does JEFFREY KENNETH LU (MD) practice in Utah?
You will see Salt Lake City, Utah on file for JEFFREY KENNETH LU (MD) alongside any extra practice locations.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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