Individual provider Active NPI

Tian Luo, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1295350411
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113383 Issued in FL
Practice address
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone
(239) 348-4000
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 PA9113383 FL Primary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X PA9113383 FL

Addresses

Primary practice location

6101 Pine Ridge Rd
Naples, FL 34119-3900

Mailing address

5401 Mahogany Ridge Dr
Naples, FL 34119-2535
Phone (239) 273-0396

Other practice location 1

3000 Medical Park Dr Ste 320
Tampa, FL 33613-4681
Phone (813) 336-5766

Other practice location 2

1329 SW 16th St Ste 1160
Gainesville, FL 32608-1128
Phone (352) 265-7955

Other identifiers 1

IdentifierTypeStateIssuer
109726900MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001613 FL Practitioner - Physician Assistant 0749609006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113383FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc CurrentSince Aug 23, 2023 Accepting new patients
Florida Hospital Physician Group Inc Single Specialty CurrentSince Jun 15, 2026 Accepting new patients
Baycare Medical Group, Inc. Single Specialty Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

3000 Medical Park Dr
Ste 320
Tampa, FL 33613
Phone (813) 336-5766

3003 W Mlk Blvd
Fl 2
Tampa, FL 33607
Phone (813) 321-6580

Interoperability endpoints

  • Direct secure messaging: tian.luopa-c@direct.mybaycare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1295350411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 MAHOGANY RIDGE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341192535",
            "telephone_number": "239-273-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-348-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134681",
            "country_code": "US",
            "telephone_number": "813-336-5766",
            "fax_number": "813-971-1286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1329 SW 16th St Ste 1160",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081128",
            "country_code": "US",
            "telephone_number": "352-265-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUO",
        "first_name": "TIAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113383",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "PA9113383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109726900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.