Individual provider Active NPI

Luna Bella Beck, M.D.

  • Internal Medicine Physician
  • Summerfield, FL
National Provider Identifier
1790742062
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
Practice address
17860 SE 109TH Ave Ste 629
Summerfield, FL 34491-8909
Phone
(352) 307-7940
Fax
(352) 307-7941
NPI assigned
Apr 28, 2006
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 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

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000083 FL Practitioner - Internal Medicine 1254322167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

17820 SE 109TH Ave
Suite 107
Summerfield, FL 34491-8968
Phone (352) 307-7940

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88111FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Beck MD & Associates PA Internal Medicine CurrentSince Feb 13, 2006 Accepting new patients
Primary Options Inc Past Accepting new patients
Luna Beck MD & Associates PA Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGHAD/Endpoint/JBGHAD

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 4

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1790742062",
    "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": {
        "last_name": "BECK",
        "first_name": "LUNA",
        "middle_name": "BELLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.