Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly M Luba, DO

Individual provider Family Medicine Physician · NPI 1740269406

Kelly M Luba, DO is registered under Family Practice in Phoenix, Arizona. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2001, 25 years ago. Practices with Tiffany Nelson MD PLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
25
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

20940 N Tatum Blvd Ste 300
Phoenix, AZ 85050-7273
Phone: (480) 607-0060
Fax: (480) 607-5809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20940 N Tatum Blvd, Phoenix, AZ 85050-4265 — (480) 607-0060

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3853 (AZ)

Record details

NPI number1740269406
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESMarch 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2001 (25 years in practice)
Group practice Tiffany Nelson Md Plc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients280
Services billed 2,369 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Tiffany Nelson MD PLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Phoenix