Individual provider Active NPI

John Alonzo Luker, MD

  • General Practice Physician
  • Austin, TX
National Provider Identifier
1700890308
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E2689 Issued in TX
Practice address
4029 S Capital of Texas Hwy
Suite 115
Austin, TX 78704-7927
Phone
(512) 326-1141
Fax
(512) 326-4444
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X E2689 TX Primary

Addresses

Primary practice location

4029 S Capital of Texas Hwy
Suite 115
Austin, TX 78704-7927

Mailing address

4029 S Capital of Texas Hwy
Suite 115
Austin, TX 78704-7927
Phone (512) 326-1141

Other identifiers 2

IdentifierTypeStateIssuer
122536902MedicaidTX
E2689OtherTXPHYSICIAN'S PERMIT

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
E2689TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1700890308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 S CAPITAL OF TEXAS HWY",
            "address_2": "SUITE 115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047927",
            "telephone_number": "512-326-1141",
            "fax_number": "512-326-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 S CAPITAL OF TEXAS HWY",
            "address_2": "SUITE 115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047927",
            "telephone_number": "512-326-1141",
            "fax_number": "512-326-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKER",
        "first_name": "JOHN",
        "middle_name": "ALONZO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E2689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122536902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PERMIT",
            "identifier": "E2689",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.