Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Song CHI Lu, MD

Individual provider Hospitalist Physician · NPI 1346864709

Song CHI Lu, MD is a Hospitalist in Santa Rosa, California. Qualified in 2020, 6 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
6
Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone: (707) 546-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 — (503) 215-6600

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A185942 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG199024 (OR)

Record details

NPI number1346864709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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