Active NPI
Elizabeth Waud Luke, M.D.
- Pediatrics Physician
- Birmingham, AL
National Provider Identifier
1124439013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD36928
- Practice address
- 3300 Cahaba Rd
Ste 102
Birmingham, AL 35223-2629 - Phone
- (205) 870-7292
- Fax
- (205) 638-9996
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD36928 | AL | Primary |
Addresses
Primary practice location
3300 Cahaba Rd
Ste 102
Birmingham, AL 35223-2629
Mailing address
3300 Cahaba Rd
Ste 102
Birmingham, AL 35223-2629
Phone (205) 870-7292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214929 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD36928 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Past | Accepting new patients |
Interoperability endpoints
- eluke21027@childrensofalabama.direct-ci.com
Organizations & group practices 1
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.
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1124439013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CAHABA RD",
"address_2": "STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352232629",
"telephone_number": "205-870-7292",
"fax_number": "205-638-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CAHABA RD",
"address_2": "STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352232629",
"telephone_number": "205-870-7292",
"fax_number": "205-638-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "ELIZABETH",
"middle_name": "WAUD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "MD36928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214929",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.