Individual provider Active NPI

Luna Amelingmeier, M.D.

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1265839633
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
61095 Issued in AZ
Practice address
6544 W Thomas Rd Ste 11
Phoenix, AZ 85033-5740
Phone
(602) 834-5515
Fax
(855) 540-2436
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19118 PR
General Practice Physician 208D00000X 61095 AZ Primary

Addresses

Primary practice location

6544 W Thomas Rd Ste 11
Phoenix, AZ 85033-5740

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

318 abalone loop
Mescalero Hospital
Mescalero, NM 88340
Phone (575) 671-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160208001957 TX Practitioner - General PracticePractitioner - Family Practice 3072817220 Reassigns benefits to 1 organization
I20231201001858 AZ Practitioner - General Practice 3072817220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61095AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC General Practice CurrentSince Oct 18, 2023 Accepting new patients
Centerwell Senior Primary Care Az PC General Practice CurrentSince Mar 17, 2025 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 2, 2020 Accepting new patients
Centerwell Senior Primary Care Az PC General Practice Current Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Centerwell Senior Primary Care Az CS PC General Practice CurrentSince Mar 17, 2025 Accepting new patients

Locations

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Organizations & group practices 6

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": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1265839633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 W THOMAS RD STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335740",
            "telephone_number": "602-834-5515",
            "fax_number": "855-540-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 abalone loop",
            "address_2": "Mescalero Hospital",
            "address_purpose": "LOCATION",
            "city": "Mescalero",
            "state": "NM",
            "postal_code": "88340",
            "country_code": "US",
            "telephone_number": "575-671-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMELINGMEIER",
        "first_name": "LUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19118",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "61095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.