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56TH MEDGRP-LUKE
NPI 1194700971
Clinic/Center - Military/U.S. Coast Guard Outpatient in Luke Afb, AZ

Active since December 14, 2005
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309(623) 856-4057 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About 56th Medgrp-luke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

56TH MEDGRP-LUKE (NPI 1194700971) is a healthcare organization registered as a military/u.s. coast guard outpatient in Luke Afb, Arizona and active in the NPI registry since December 2005. The organization lists Jen Lewandowski, Air Force Ubo Analyst, as its authorized official.

NPPES Registry Identity

NPI1194700971
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name56TH MEDGRP-LUKE
Location Address7219 N LITCHFIELD RDLuke Afb, AZ 85309
Mailing Address7219 N Litchfield RdLuke Afb, AZ 85309 · (623) 856-4057
Phone(623) 856-4057
Organization SubpartYes
Authorized OfficialJen LewandowskiAir Force Ubo Analyst · (703) 817-4030
Enumeration DateDecember 14, 2005
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1194700971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
7219 N LITCHFIELD RD, Luke Afb, AZ 85309
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Other Names 1

Other NameLuke Afb Mtf

Other Identifiers 1

Other0323953AZ · Ncpdp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL RAMSEY
Radiology (Diagnostic Radiology)
7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
Maricopa County (623) 856-7618
DR. RYAN EUGENE GARD DDS
Dentist
7219 N LITCHFIELD RD
GLENDALE LUKE AFB, AZ 85309
Maricopa County (623) 856-7535
MRS. JESSICA HARRIS RACKLEY PA-C
Physician Assistant (Medical)
7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
Maricopa County (623) 856-9752
DR. CRAIG ALAN SCHADEWALD FNP-C
Nurse Practitioner (Family)
7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
Maricopa County (623) 856-2273
DR. LOC VINH TRAN DDS, MS
Dentist (Periodontics)
7219 N LITCHFIELD RD
GLENDALE, AZ 85309
Maricopa County (623) 856-7535
PHILIPPE LACSON PA
Physician Assistant (Medical)
7219 N LITCHFIELD RD
GLENDALE, AZ 85309
Maricopa County (623) 856-4677
DR. JOANN LEE SHIMABUKURO PSY.D., M.A., M.S.
Psychologist (Clinical)
7219 N LITCHFIELD RD, 56 MEDICAL GROUP
LUKE AFB, AZ 85309
Maricopa County (623) 856-7579
TODD J ALAN MD
Family Medicine
7219 N LITCHFIELD RD
LUKE AFB, AZ 85309
Maricopa County (623) 856-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 56th Medgrp-Luke's NPI number?

The NPI number for 56th Medgrp-Luke is 1194700971. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider is also known as Luke AFB MTF.

Where is 56th Medgrp-Luke located?

56th Medgrp-Luke is located at 7219 N Litchfield Rd, Luke Afb, AZ 85309. The listed phone number is (623) 856-4057.

What is 56th Medgrp-Luke's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 56th Medgrp-Luke was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.