Individual provider Active NPI

Robert Philip Luberto, DO

  • Sports Medicine (Family Medicine) Physician
  • Peoria, AZ
National Provider Identifier
1760441174
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
3176 Issued in AZ
Practice address
7717 W. Deer Valley Rd.
Suite 125
Peoria, AZ 85382
Phone
(623) 561-6300
Fax
(623) 572-5400
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 3176 AZ Primary

Addresses

Primary practice location

7717 W. Deer Valley Rd.
Suite 125
Peoria, AZ 85382

Mailing address

7717 W Deer Valley Rd
Suite 125
Peoria, AZ 85382
Phone (623) 561-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001036 AZ Practitioner - Family Practice 3173509163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7717 W Deer Valley Rd
Suite 125
Peoria, AZ 85382-2102
Phone (623) 561-6300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert P Luberto DO PC Sports Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

4344 W Bell Rd
Ste 102
Glendale, AZ 85308
Phone (602) 588-4040

1959 S Power Rd
#103378
Mesa, AZ 85206

7717 W Deer Valley Rd
Ste 125
Peoria, AZ 85382
Phone (623) 561-6300

Interoperability endpoints

  • Direct secure messaging: afsm@afsm-az.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1760441174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 W DEER VALLEY RD",
            "address_2": "SUITE 125",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-561-6300",
            "fax_number": "623-572-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 W. DEER VALLEY RD.",
            "address_2": "SUITE 125",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-561-6300",
            "fax_number": "623-572-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBERTO",
        "first_name": "ROBERT",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "3176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.