Active NPI
Charles Jonathan Lugo, M.D.
- Diagnostic Radiology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 312752
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
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
- Baptist Health Lexington
- Ascension Saint Thomas Hospital
- Abbott Northwestern Hospital
- Research Medical Center
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.84 of 100
- Quality
- 95
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.18 of 100
- Quality
- 85.58
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 15 of 100
- Quality
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036177510 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Wetumpka Urgent Care LLC | Current | Accepting new patients | |
| Enterprise Urgent Care | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Ivy Creek Family Care of Lake Martin | Current | Accepting new patients | |
| Radiology Associates of Tallahassee PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Southeast Radiology Partners LTD | Diagnostic Radiology | Current | Accepting new patients |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | 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 | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Tallahassee Diag Imaging Ctr LTD | Diagnostic Radiology | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Baptist Outpatient Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Peterson Medical Associates | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| St Francis Regional Medical Center | Current | Accepting new patients | |
| Gables Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Chilton Family Care, LLC | Current | Accepting new patients | |
| Blue Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| River Region Family Medicine, LLC | Current | Accepting new patients | |
| Physical Express | Current | 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
- charles.lugo.1@28977.direct.athenahealth.com
- clugo540016@ehrdirect.uhhospitals.org
- 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.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Rural Health Clinic/Center
- Tallassee, AL
- NPI 1558868323
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- Family Medicine Physician
- Wetumpka, AL
- NPI 1578195525
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.