Luna Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000472 Issued in IL

Legal business name

LUNA MEDICAL, INC.

Practice address

4397 N Elston Ave
Chicago, IL 60641-2147

Phone

(800) 380-4339

Fax

(888) 696-0299

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Marianne Helen Luh

Title

Founder

Phone

(800) 380-4339

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Luna Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luna Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1629031588
  NPD tax ID

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1083769202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4397 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412147",
            "telephone_number": "800-380-4339",
            "fax_number": "888-696-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4397 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412147",
            "telephone_number": "800-380-4339",
            "fax_number": "888-696-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "LUH",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "800-380-4339"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000472",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203000472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "01623767",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1024415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luminous Mirror Therapy PLLC
• Lumos Counseling, PLLC
• Ada Lumpkin, PA-C
• Anthony Gerard Lumpkin, D.D.S.
• Jaqueline Luna Estrada
• Luna Medical, Inc.
• Alejandra Nataly Luna Melendez, OTD, OTR/L
• Luna Pharmacy at Madison LLC
• Luna Pharmacy at South Shore LLC
• Luna Pharmacy II LLC

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.