Active NPI
Gregory A Luna, PA
- Medical Physician Assistant
- Port Isabel, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184949976 | Medicaid | TX |
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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05710 | TX | MD | Medical 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Luna Medical Clinic PLLC | 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.
-
- Family Medicine Physician
- Port Isabel, TX
- NPI 1043785736
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
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.
-
- Family Medicine Physician
- Port Isabel, TX
- NPI 1043785736
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harlingen, TX
- NPI 1154618742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.