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

Kelly M Luba, DO

Individual provider Family Medicine Physician · NPI 1740269406

Kelly M Luba, DO is a 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.

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Practice location Address checks out

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

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