Individual provider Active NPI

Elizabeth Waud Luke, M.D.

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1124439013
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD36928 Issued in AL
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

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
214929MedicaidAL

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

LicenseStateTypeSpecialty
MD36928ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Hospital of Alabama Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.