Individual provider Active NPI

Luther Charles, PA, MD

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1245694983
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9229 Issued in AZ
Practice address
14820 N Cave Creek Rd Ste 2
Phoenix, AZ 85032-4951
Phone
(833) 242-0100
NPI assigned
Apr 8, 2016
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9229 AZ Primary
Medical Physician Assistant 363AM0700X TPPA266 FL

Addresses

Primary practice location

14820 N Cave Creek Rd Ste 2
Phoenix, AZ 85032-4951

Mailing address

1550 E Thunderbird Rd
Phoenix, AZ 85022-5600
Phone (561) 502-6388

Other practice location 1

125 N.E 205 Terrace
Miami Gardens, FL 33179
Phone (561) 502-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240328001869 AZ Practitioner - Physician Assistant 2365889128 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3201 W Peoria Ave
Suite D805
Phoenix, AZ 85029-4677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9229AZMDPhysician Assistant
TPPA266FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Diabetes Center, LLC Medical CurrentSince Jan 1, 2026 Accepting new patients
I Am Wellness Az LLC CurrentSince Jan 1, 2026 Accepting new patients
Phoenix Area Cardiology and Electrophysiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Bmi423I CurrentSince Jan 1, 2026 Accepting new patients
Enlightened Way Health LLC CurrentSince Dec 1, 2025 Accepting new patients
DWF Chiro Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Progressive Pain Management Inc CurrentSince Jan 1, 2026 Accepting new patients
Michael F Esber DPM PC CurrentSince Jan 1, 2026 Accepting new patients
Unomed LLC CurrentSince Feb 15, 2026 Accepting new patients
St. Luke's Pediatrics PastSince Feb 8, 2023 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Afcc Medical Center LLC PastSince Aug 3, 2025 Accepting new patients
Wellvita,Inc Past Accepting new patients
Arizona Family Clinics Corp PastSince Jan 29, 2023 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
Donni Fleischaker MD, PLLC Past Accepting new patients
Peak Medical PLLC Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

15396 N 83rd Ave
Ste C101
Peoria, AZ 85381
Phone (623) 889-7398

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

16601 N 40th St
Ste 220
Phoenix, AZ 85032
Phone (602) 979-0725

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

9200 N Central Ave
Ste 2
Phoenix, AZ 85020
Phone (480) 999-4954

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22282/brand/1/csg/1/fhir/r4

Organizations & group practices 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1245694983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E THUNDERBIRD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225600",
            "telephone_number": "561-502-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 N CAVE CREEK RD STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324951",
            "telephone_number": "833-242-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N.E 205 TERRACE",
            "address_purpose": "LOCATION",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33179",
            "country_code": "US",
            "telephone_number": "561-502-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LUTHER",
        "name_prefix": "Dr.",
        "credential": "PA, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9229",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "TPPA266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.