Active NPI
Thomas William Luck, MD
- Internal Medicine Physician
- Fort Myers, FL
National Provider Identifier
1528016011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78923
- Practice address
- 4761 S. Cleveland Ave.
Suite 3
Fort Myers, FL 33907-1317 - Phone
- (239) 343-9722
- Fax
- (239) 343-9725
- NPI assigned
- May 5, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME78923 | FL | |
| Internal Medicine Physician | 207R00000X | ME78923 | FL | Primary |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | ME78923 | FL |
Addresses
Primary practice location
4761 S. Cleveland Ave.
Suite 3
Fort Myers, FL 33907-1317
Mailing address
PO Box 61557
Fort Myers, FL 33906-1557
Phone (239) 245-5268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78923 | FL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Hospital Management Corporation | Past | Accepting new patients | |
| Florida Medical Clinic, LLC | Past | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients | |
| Allergy Sinus & Asthma Center of Leesburg Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lady Lake, FL
- NPI 1992718290
-
dba Florida Medical Clinic Pharmacy
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
dba Mad River Community Hospital
- Rural Health Clinic/Center
- Arcata, CA
- NPI 1609979707
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1528016011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61557",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339061557",
"telephone_number": "239-245-5268",
"fax_number": "239-343-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 S. CLEVELAND AVE.",
"address_2": "SUITE 3",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071317",
"telephone_number": "239-343-9722",
"fax_number": "239-343-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCK",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME78923",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78923",
"primary": true
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "FL",
"license": "ME78923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.