Individual provider Active NPI

Charles Jonathan Lugo, M.D.

  • Diagnostic Radiology Physician
  • Stony Brook, NY
National Provider Identifier
1033537857
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
312752 Issued in NY
Practice address
101 Nicolls Rd
Stony Brook, NY 11794-2118
Phone
(631) 444-5400
Fax
(631) 444-7538
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 312752 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 76554 MN
Diagnostic Radiology Physician 2085R0202X ME144236 FL
Vascular & Interventional Radiology Physician 2085R0204X C3181 KY
Vascular & Interventional Radiology Physician 2085R0204X 036177510 IL

Addresses

Primary practice location

101 Nicolls Rd
Stony Brook, NY 11794-2118

Mailing address

PO Box 1559
Stony Brook, NY 11794-8460
Phone (631) 444-5400

Other practice location 1

1025 S 6th St
Springfield, IL 62703-2499
Phone (217) 528-7541

Other practice location 2

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-7650

Other practice location 3

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 718-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, KY, TX, IN, AZ, IL, AL, ND9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20200522000745 FL Practitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 13 organizations
I20240404001560 MN Practitioner - Interventional Radiology 1254752595 Reassigns benefits to 3 organizations
I20250304001810 KY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 3 organizations
I20250806003092 TX Practitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 1 organization
I20250924001622 IN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 2 organizations
I20251126001167 AZ Practitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 1 organization
I20251215002310 IL Practitioner - Interventional Radiology 1254752595 Reassigns benefits to 1 organization
I20260102003641 AL Practitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 7 organizations
I20260115003305 ND Practitioner - Diagnostic Radiology 1254752595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 4385882976, 57 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
River Region Family Medicine, LLCGroup PAC ID 2163853151, 56 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

Miami, FL 33137
Phone (469) 677-7430

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

2700 Healing Way
Wesley Chapel, FL 33543-5453

277 Huntress St
Suite 100
Wetumpka, AL 36092-3329

277 Huntress St
Suite 100
Wetumpka, AL 36092-3342
Phone (334) 567-3309

3000 NE 2ND Ave
Apt 427
Miami, FL 33137-5395
Phone (888) 264-0330

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

701 N 1St St
Springfield, IL 62781-0001
Phone (217) 528-7541

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

PO Box
Suite 130
Wetumpka, AL 36092

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
85.58
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036177510ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic, LLP CurrentSince Oct 5, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Oct 19, 2025 Accepting new patients
Enterprise Urgent Care CurrentSince Oct 19, 2025 Accepting new patients
Norton Children'S Medical Group, LLC Diagnostic Radiology CurrentSince Apr 19, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Ivy Creek Family Care of Lake Martin CurrentSince Oct 19, 2025 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Apr 12, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 26, 2024 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jul 1, 2020 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Allina Health System CurrentSince Apr 1, 2024 Accepting new patients
Allina Health System CurrentSince Apr 1, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Feb 26, 2024 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 19, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Feb 25, 2024 Accepting new patients
Allina Health System CurrentSince Apr 1, 2024 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Dec 31, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Norton Childrens Medical Group, LLC Current Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Oct 20, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 19, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Dec 3, 2024 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Feb 26, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Peterson Medical Associates CurrentSince Aug 18, 2025 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 19, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
St Francis Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Gables Radiology Associates PA Diagnostic Radiology CurrentSince Oct 23, 2023 Accepting new patients
Chilton Family Care, LLC CurrentSince Oct 19, 2025 Accepting new patients
Blue Radiology Services LLC Diagnostic Radiology CurrentSince Aug 9, 2023 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
River Region Family Medicine, LLC CurrentSince Oct 19, 2025 Accepting new patients
Physical Express CurrentSince Oct 19, 2025 Accepting new patients
Ivycreek of Elmore LLC Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations (25 of 52)

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

7725 NW 48th St
Ste 100
Doral, FL 33166
Phone (305) 224-1864

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

815 NW 57th Ave
Ste 100
Miami, FL 33126
Phone (305) 261-0555

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

17 Davis Blvd
Ste 308
University of Tampa, FL 33606
Phone (813) 250-2506

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200

1025 S 6th St
Springfield, IL 62703

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

Interoperability endpoints

  • Direct secure messaging: charles.lugo.1@28977.direct.athenahealth.com
  • Direct secure messaging: clugo540016@ehrdirect.uhhospitals.org
  • Direct secure messaging: charles.lugo@direct.stonybrookmedicine.edu

Organizations & group practices 47

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.

View all 47

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1033537857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948460",
            "telephone_number": "631-444-5400",
            "fax_number": "316-444-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942118",
            "telephone_number": "631-444-5400",
            "fax_number": "631-444-7538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627032499",
            "country_code": "US",
            "telephone_number": "217-528-7541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-7650",
            "fax_number": "502-629-7653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-718-2531",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "CHARLES",
        "middle_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "312752",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "76554",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME144236",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "C3181",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036177510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.