1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Podiatrist
  6. NPI Profile

DR. INDOLFO ALBERTO LUNA DPM
NPI 1629560891
Podiatrist in Saint Louis, MO

Active since June 04, 2018PECOS Enrolled
3649 PAGE BLVD, SAINT LOUIS, MO 63113(314) 288-0071 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Indolfo Alberto Luna Dpm NPPES

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

DR. INDOLFO ALBERTO LUNA DPM (NPI 1629560891) is an individual podiatrist in Saint Louis, Missouri, licensed in Missouri (2021022138) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1629560891
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. INDOLFO ALBERTO LUNACredential: DPM
Location Address3649 PAGE BLVDSaint Louis, MO 63113-3807
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (314) 288-0071
Phone(314) 288-0071
Sole ProprietorNo
Enumeration DateJune 4, 2018
Last NPPES UpdateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1629560891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MO · 2021022138
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3649 PAGE BLVD, Saint Louis, MO 63113
Open in Google Maps ↗

Secondary Practice Location 1

Location 14422 3rd AveBronx, NY 10457-2594 · Phone (718) 960-3796 · Fax (718) 960-6232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Indolfo Alberto Luna Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Indolfo Luna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Missouri Holding, LLC
1,052 mi
Internal Medicine
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
NPI 1053958082 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ANNE USHA JACOB M.B.B.S.
Family Medicine
3649 PAGE BLVD
SAINT LOUIS, MO 63113
St. Louis City (314) 288-0071
DEDICATED MISSOURI HOLDING, LLC
Non-Pharmacy Dispensing Site
3649 PAGE BLVD
SAINT LOUIS, MO 63113
St. Louis City (314) 328-0144

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 Indolfo Luna's NPI number?

The NPI number for Indolfo Luna is 1629560891. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Indolfo Luna located?

Indolfo Luna practices at 3649 Page Blvd, Saint Louis, MO 63113. The listed phone number is (314) 288-0071.

What is Indolfo Luna's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Indolfo Luna enrolled in Medicare?

Yes. Indolfo Luna is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Indolfo Luna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indolfo Luna reassigns Medicare benefits to Dedicated Missouri Holding, LLC (Miami Gardens, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Indolfo Luna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Indolfo Luna was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.