Individual provider Active NPI

Gregory A Luna, PA

  • Medical Physician Assistant
  • Port Isabel, TX
National Provider Identifier
1184949976
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA05710 Issued in TX
Practice address
112 W Queen Isabella Ste C
Port Isabel, TX 78578-2970
Phone
(956) 524-0555
Fax
(956) 524-0405
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA05710 TX Primary

Addresses

Primary practice location

112 W Queen Isabella Ste C
Port Isabel, TX 78578-2970

Mailing address

112 W Queen Isabella Blvd Ste C
Port Isabel, TX 78578-2970
Phone (956) 524-0555

Other identifiers 1

IdentifierTypeStateIssuer
1184949976MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402001938 TX Practitioner - Physician Assistant 8921370784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 W Queen Isabella
Suite C
Port Isabel, TX 78578-2970

112 W Queen Isabella Blvd
Suite C
Port Isabel, TX 78578-2970
Phone (956) 524-0555

Hospital & facility affiliations

  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05710TXMDMedical Physician Assistant

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Luna Medical Clinic PLLCPort Isabel, TX, CCN 673959 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer (49%)
W-2 Managing Employee (49%)
Operational/Managerial Control (49%)
Nov 15, 2018
Nov 15, 2018
Nov 15, 2018
Nov 15, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1184949976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W QUEEN ISABELLA BLVD STE C",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782970",
            "telephone_number": "956-524-0555",
            "fax_number": "956-524-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W QUEEN ISABELLA STE C",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782970",
            "telephone_number": "956-524-0555",
            "fax_number": "956-524-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184949976",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

Verify at the official NPI Registry.