Individual provider Active NPI

Andrew Robert Green Luke, MD

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1851708481
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-43694 Issued in IA
Practice address
2710 Saint Francis Dr Ste 210
Waterloo, IA 50702-5664
Phone
(319) 272-5000
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R10162 IA
Family Medicine Physician 207Q00000X MD-43694 IA Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 210
Waterloo, IA 50702-5664

Mailing address

2710 St Francis Dr Ste 210
Waterloo, IA 50702-5664
Phone (319) 272-5000

Other practice location 1

2055 Kimball Ave
Suite 101
Waterloo, IA 50702-5047
Phone (319) 272-2112

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
R10162IAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851708481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 ST FRANCIS DR STE 210",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025664",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 210",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025664",
            "telephone_number": "319-272-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Kimball Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025047",
            "country_code": "US",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "ANDREW",
        "middle_name": "ROBERT GREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R10162",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-43694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.