Individual provider Active NPI

Victor Manuel Luna, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bonita Springs, FL
National Provider Identifier
1275566945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME101746 Issued in FL
Practice address
3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217
Phone
(239) 624-1050
Fax
(239) 624-1051
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME101746 FL Primary

Addresses

Primary practice location

3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217

Mailing address

3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217
Phone (239) 624-1050

Other identifiers 6

IdentifierTypeStateIssuer
001736600MedicaidFL
CV914ZOtherFLMEDICARE
7291660OtherFLAETNA
146XZOtherFLBCBS
0297329OtherFLCIGNA
P00804784OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000668 FL Practitioner - Endocrinology 6709844020 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Institute of South FL LLC Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2021 Accepting new patients
Delta Physician Practices Past Accepting new patients
Internal Medicine Institute of South FL,LLC PastSince Dec 1, 2021 Accepting new patients
Delta Medical Group Past Accepting new patients

Locations

4061 Bonita Beach Rd
Ste 101
Bonita Springs, FL 34134
Phone (239) 301-0105

14131 Metropolis Ave
Ste 106
Fort Myers, FL 33912
Phone (239) 301-0105

Interoperability endpoints

  • Direct secure messaging: vluna23033@nchhealthcaresystem.direct-ci.com

Organizations & group practices 4

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275566945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 BONITA BEACH RD STE 170",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344217",
            "telephone_number": "239-624-1050",
            "fax_number": "239-624-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 BONITA BEACH RD STE 170",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344217",
            "telephone_number": "239-624-1050",
            "fax_number": "239-624-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME101746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001736600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CV914Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7291660",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "146XZ",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0297329",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00804784",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.