Individual provider Active NPI

Colleen M Luna, MD

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1861072654
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
67679 Issued in AZ
Practice address
4550 E Bell Rd BLDG 5
Phoenix, AZ 85032-9390
Phone
(480) 666-5568
Fax
(702) 297-6238
NPI assigned
Apr 14, 2021
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 67679 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd BLDG 5
Phoenix, AZ 85032-9390

Mailing address

4550 E Bell Rd BLDG 5
Phoenix, AZ 85032-9390
Phone (480) 666-5568

Other names 1

  • Colleen Morken Former name

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
I20221104001781 AZ Practitioner - Dermatology 9830591122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Wisconsin School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Surgical Dermatology Group LLCGroup PAC ID 8224468418, 3 clinicians

Practice addresses (Care Compare)

4550 E Bell Rd
BLDG 5
Phoenix, AZ 85032-9390
Phone (480) 666-5568

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of tissue1-10
Removal of skin lesions885
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67679AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Surgical Dermatology Group LLC Dermatology CurrentSince Aug 15, 2025 Accepting new patients
Mayo Clinic Arizona CurrentSince Oct 19, 2022 Accepting new patients
Mayo Clinic Arizona CurrentSince Oct 19, 2022 Accepting new patients

Locations

4550 E Bell Rd
Bldg 5
Phoenix, AZ 85032
Phone (480) 666-5568

13400 E Shea Blvd
Scottsdale, AZ 85259

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00235

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1861072654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD BLDG 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329390",
            "telephone_number": "480-666-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD BLDG 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329390",
            "telephone_number": "480-666-5568",
            "fax_number": "702-297-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "67679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MORKEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.