Individual provider Active NPI

Duane John Luke, MD

  • Internal Medicine Physician
  • Golden Meadow, LA
National Provider Identifier
1164429544
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024310 Issued in LA
Practice address
176 Washington St
Golden Meadow, LA 70357-2938
Phone
(985) 475-5200
Fax
(985) 475-5664
NPI assigned
Jun 30, 2005
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024310 LA Primary

Addresses

Primary practice location

176 Washington St
Golden Meadow, LA 70357-2938

Mailing address

200 W 134TH PL
Cut Off, LA 70345-4143
Phone (985) 798-7000

Other identifiers 1

IdentifierTypeStateIssuer
1571652MedicaidLA

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
I20071005000571 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1355436361 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024310LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafourche Parish Hospital Service District No.1 CurrentSince Sep 1, 2007 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince Sep 1, 2007 Accepting new patients
Lafourche Parish Hospital Service District No. 1 CurrentSince Sep 1, 2007 Accepting new patients
Physician Practice Partners Internal Medicine PastSince Feb 5, 2017 Accepting new patients

Locations

200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300

176 Washington St
Golden Meadow, LA 70357
Phone (504) 475-5200

13030 Highway 308
Larose, LA 70373
Phone (985) 798-5171

Interoperability endpoints

  • Direct secure messaging: duane.luke.1@748.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1164429544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 134TH PL",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703454143",
            "telephone_number": "985-798-7000",
            "fax_number": "985-798-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WASHINGTON ST",
            "city": "GOLDEN MEADOW",
            "state": "LA",
            "postal_code": "703572938",
            "telephone_number": "985-475-5200",
            "fax_number": "985-475-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "DUANE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571652",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Meadow, LA

Sources for this page

Verify at the official NPI Registry.