Individual provider Active NPI

Maria Claudia De Pombo Luna, MD

  • Psychiatry Physician
  • Weston, FL
National Provider Identifier
1275930109
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME126382 Issued in FL
Practice address
2813 Executive Park Dr Ste 126
Weston, FL 33331-3603
Phone
(964) 614-2484
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X ME126382 FL
Psychiatry Physician 2084P0800X ME126382 FL Primary

Addresses

Primary practice location

2813 Executive Park Dr Ste 126
Weston, FL 33331-3603

Mailing address

2813 Executive Park Dr Ste 126
Weston, FL 33331-3603
Phone (964) 614-2484

Other names 1

  • Maria C De Pombo Luna Professional name

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
I20180219000201 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1850652652 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126382FLMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Mental Health Center, Inc. CurrentSince Nov 15, 2024 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
MD Psychiatry Consultant L.L.C CurrentSince May 7, 2023 Accepting new patients

Locations

16158 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-0522

2813 Executive Park Dr
Ste 126
Weston, FL 33331
Phone (954) 247-1557

Interoperability endpoints

  • Direct secure messaging: mdepombo603855@direct.ccf.org

Organizations & group practices 3

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1275930109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "964-614-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "964-614-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE POMBO LUNA",
        "first_name": "MARIA",
        "middle_name": "CLAUDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME126382",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME126382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DE POMBO LUNA",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.