Luke Allen Wall, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD.203242 Issued in LA

Practice address

200 Henry Clay Ave
New Orleans, LA 70118-5720

Phone

(504) 896-9589

Fax

(504) 896-9311

NPI assigned

Oct 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pediatric Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana State University School of Med in New Orleans Faculty GrouGroup PAC ID 9739358722, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Louisiana State University School of Med in New Orleans Faculty Grou

  dba LSU Healthcare Network

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1932492626
  Medicare reassignment Care Compare group NPD
• Children's Hospital

  dba Manning Family Children's

  • Specialist
  • New Orleans, LA
  • NPI 1043230873

  Pediatrics

  Medicare reassignment NPD
• North Oaks Medical Center, LLC

  dba North Oaks Med Ctr Professional Billing

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  Medicare reassignment NPD
• North Oaks Physician Group, LLC

  dba North Oaks Physician Group

  • Multi-Specialty Clinic/Center
  • Hammond, LA
  • NPI 1427035211
  Medicare reassignment NPD
• Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1568597649

  Allergy & Immunology

  NPD
• Lsuhsc New Orleans Physicians

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1447487145
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1124207873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9589",
            "fax_number": "504-896-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9589",
            "fax_number": "504-896-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15742 Medical Arts Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031446",
            "country_code": "US",
            "telephone_number": "985-230-5437",
            "fax_number": "985-230-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "LUKE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.203242",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "MD.203242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007528",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Walker, LPC
• Will Walker, MSW
• William Walker Sr., MSW., RSW
• William Steven Walker, PH. D.
• Ellen Wall
• Billy Micheal Wallace III
• Bobby Wallace, B.A.
• Brandy S Wallace
• Jetavia Wallace
• Leslie Austin Wallace, MSW, LCSW

• Allergy & Immunology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Allergy & Immunology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.