Active NPI
Maria Claudia De Pombo Luna, MD
- Psychiatry Physician
- Weston, FL
National Provider Identifier
1275930109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME126382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126382 | FL | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Mental Health Center, Inc. | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| MD Psychiatry Consultant L.L.C | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Delray Beach, FL
- NPI 1033167721
-
- Medical Specialty Clinic/Center
- Weston, FL
- NPI 1336843713
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.