Individual provider Active NPI

Ophelia Luu, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1407577737
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10571 Issued in AZ
Practice address
1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603
Phone
(602) 358-8858
Fax
(602) 688-6991
NPI assigned
Sep 6, 2022
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003773A IN
Physician Assistant 363A00000X 10571 AZ Primary
Physician Assistant 363A00000X 1191147 IN

Addresses

Primary practice location

1008 E McDowell Rd Ste a
Phoenix, AZ 85006-2603

Mailing address

3220 N 38TH St Unit 38
Phoenix, AZ 85018-6318
Phone (574) 549-2776

Other practice location 1

10585 N Tatum Blvd Ste D130
Paradise Valley, AZ 85253-1073
Phone (602) 358-8588

Other practice location 2

702 E Bell Rd Ste 119
Phoenix, AZ 85022-6639
Phone (602) 358-8588

Other practice location 3

10210 N 92nd St Ste 201
Scottsdale, AZ 85258-4524
Phone (602) 358-8588

Other practice location 4

1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone (602) 358-8588

Other practice location 5

2222 E Highland Ave Ste 205
Phoenix, AZ 85016-4876
Phone (602) 358-8588

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221013002398 IN Practitioner - Physician Assistant 9739555905 Reassigns benefits to 1 organization
I20240812003966 AZ Practitioner - Physician Assistant 9739555905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly H Roy MD PCGroup PAC ID 3476526724, 28 clinicians

Practice addresses (Care Compare)

2222 E Highland Ave
Suite 205
Phoenix, AZ 85016-4876
Phone (602) 358-8588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10571AZMDPharmacist
1191147INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 14, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 14, 2022 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1011 Main St
Ste 140
Speedway, IN 46224
Phone (317) 328-0901

Interoperability endpoints

  • Direct secure messaging: oluu529640@ecommunitydirect.com
  • Direct secure messaging: ophelia.luu.1@2541.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1407577737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 N 38TH ST UNIT 38",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186318",
            "telephone_number": "574-549-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062603",
            "telephone_number": "602-358-8858",
            "fax_number": "602-688-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10585 N Tatum Blvd Ste D130",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531073",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 E Bell Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226639",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 N 92nd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584524",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164876",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "OPHELIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003773A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10571",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "1191147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.