Individual provider Active NPI

Celeste Childress Luke, M.D.

  • Ophthalmology Physician
  • Pineville, LA
National Provider Identifier
1043201585
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12539R Issued in LA
Practice address
2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone
(318) 473-0010
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12539R LA Primary

Addresses

Primary practice location

2495 Shreveport Hwy
Pineville, LA 71360-4044

Mailing address

Alexandria VA Health Care System
2495 Shreveport Highway
Pineville, LA 71360-4044
Phone (318) 473-0010

Other identifiers 7

IdentifierTypeStateIssuer
1541184MedicaidLA
185374602OtherLAUNITED HEALTHCARE
721418139OtherLASTATE GROUP BENEFITS
9903808OtherLAGEHA
1948691MedicaidLA
180034882OtherLARAILROAD MEDICARE
721418139OtherLAHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100106000246 LA Practitioner - Ophthalmology 7012058514 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Healthcare System LLC CurrentSince Mar 15, 2023 Accepting new patients
Rapides Healthcare System, LLC CurrentSince Mar 15, 2023 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Dec 15, 2020 Accepting new patients
Alexandria Eye and Laser Center, LLC Ophthalmology CurrentSince Dec 15, 2020 Accepting new patients
Mary F. Summers, M.D., Apm LLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients

Locations

231 Windermere Blvd
Alexandria, LA 71303
Phone (318) 445-7770

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

301 4th St
Ste 3A1
Alexandria, LA 71301
Phone (318) 443-8090

5000 Ambassador Caffery Pkwy
Bldg 13
Lafayette, LA 70508
Phone (337) 233-3368

1008 S 6th St
Leesville, LA 71446
Phone (337) 392-1994

108 Medic Ave
Marksville, LA 71351
Phone (318) 253-9766

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1043201585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALEXANDRIA VA HEALTH CARE SYSTEM",
            "address_2": "2495 SHREVEPORT HIGHWAY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "CELESTE",
        "middle_name": "CHILDRESS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "12539R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541184",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "185374602",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE GROUP BENEFITS",
            "identifier": "721418139",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "9903808",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948691",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180034882",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "721418139",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.