Individual provider Active NPI

Luke McKenna, M.D.

  • Pediatrics Physician
  • Charlottesville, VA
National Provider Identifier
1255727103
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101280134 Issued in VA
Practice address
900 Rio East CT Ste a
Charlottesville, VA 22901-8040
Phone
(434) 975-7777
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101280134 VA Primary
Pediatrics Physician 208000000X ME134036 FL

Addresses

Primary practice location

900 Rio East CT Ste a
Charlottesville, VA 22901-8040

Mailing address

900 Rio East CT Ste a
Charlottesville, VA 22901-8040
Phone (434) 975-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150917001912 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8123335544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134036FLMDPediatrics Physician
0101280134VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Coast Pediatrics Pediatrics PastSince May 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmckenna@icpeds.opdirect.net

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255727103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIO EAST CT STE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018040",
            "telephone_number": "434-975-7777",
            "fax_number": "434-975-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIO EAST CT STE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018040",
            "telephone_number": "434-975-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101280134",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME134036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.