Organization Active NPI

Luna Beck MD & Associates PA

  • Internal Medicine Physician
  • Summerfield, FL
National Provider Identifier
1619018678
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88111 Issued in FL
Legal business name
LUNA BECK MD & ASSOCIATES PA
Practice address
17860 SE 109TH Ave Ste 629
Summerfield, FL 34491-8909
Phone
(352) 307-7940
Fax
(352) 307-7941
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Authorized official

Name
Dr. Luna Bella Beck, M.D.NPI 1790742062
Title
President
Phone
(352) 307-7940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME88111 FL Primary

Addresses

Primary practice location

17860 SE 109TH Ave Ste 629
Summerfield, FL 34491-8909

Mailing address

17860 SE 109TH Ave Ste 629
Summerfield, FL 34491-8909
Phone (352) 307-7940

Other identifiers 1

IdentifierTypeStateIssuer
1790742062OtherFLINDIVIDAUL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000674 FL Part B Supplier - Clinic/Group Practice 0244249043 Receives reassigned benefits from 1 practitioner
Practice locations: Summerfield, FL

National Provider Directory

National Provider Directory
Tax ID family
Luna Beck MD Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17820 SE 109th Ave
Ste 106B
Summerfield, FL 34491
Phone (352) 245-5060

17860 SE 109th Ave
Ste 629
Summerfield, FL 34491
Phone (352) 307-7940

17820 SE 109th Ave
Ste 107
Summerfield, FL 34491
Phone (352) 307-7940

11950 County Road 101
Ste 105
The Villages, FL 32162
Phone (352) 307-7940

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780185600000",
    "number": "1619018678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE STE 629",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918909",
            "telephone_number": "352-307-7940",
            "fax_number": "352-307-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE STE 629",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918909",
            "telephone_number": "352-307-7940",
            "fax_number": "352-307-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA BECK MD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "LUNA",
        "authorized_official_middle_name": "BELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-307-7940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDAUL NPI NUMBER",
            "identifier": "1790742062",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.