Individual provider Active NPI

Joseph Renteria Luna III, M.D.

  • Family Medicine Physician
  • Live Oak, TX
National Provider Identifier
1023127255
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9594 Issued in TX
Practice address
12602 Toepperwein Rd
#100
Live Oak, TX 78233-3269
Phone
(210) 654-0030
Fax
(855) 278-4550
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9594 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd
#100
Live Oak, TX 78233-3269

Mailing address

1045 Central Pkwy N
#200
San Antonio, TX 78232-5085
Phone (210) 536-9591

Other identifiers 2

IdentifierTypeStateIssuer
G41125OtherTXUPIN #
113228407MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000445 TX Practitioner - Family Practice 5991993040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1739 Schertz Pkwy
Schertz, TX 78154-1639
Phone (210) 491-8179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Apr 4, 2025 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Apr 4, 2025 Accepting new patients

Locations

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

8038 Wurzbach Rd
Ste 120
San Antonio, TX 78229
Phone (210) 575-1590

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

19500 Ih 10 W
Stop 24090
San Antonio, TX 78257
Phone (210) 762-3662

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8542 Wurzbach Rd
San Antonio, TX 78240
Phone (210) 616-7300

1739 Schertz Pkwy
Schertz, TX 78154
Phone (210) 491-8179

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1023127255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 CENTRAL PKWY N",
            "address_2": "#200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325085",
            "telephone_number": "210-536-9591",
            "fax_number": "904-425-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD",
            "address_2": "#100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333269",
            "telephone_number": "210-654-0030",
            "fax_number": "855-278-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "JOSEPH",
        "middle_name": "RENTERIA",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "G41125",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113228407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.