Biju M Lukose, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M7387 Issued in TX

Practice address

4541 N Josey Lane
Suite 110
Carrollton, TX 75010-4622

Phone

(469) 788-8588

Fax

(469) 788-7800

NPI assigned

Jul 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General SurgeryAlso: General Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Lantern Clinic LLCGroup PAC ID 0446502322, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Guidance Home Health Services Inc

  • Home Health Agency
  • Carrollton, TX
  • NPI 1073895322

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Little Lantern Hospice LLC

  • Community Based Hospice Care Agency
  • Carrollton, TX
  • NPI 1639686256

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Little Lantern Clinic LLC

  • General Practice Physician
  • Carrollton, TX
  • NPI 1114409133

  Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Chillicothe Hospital Authority

  • Rural Health Clinic/Center
  • Chillicothe, TX
  • NPI 1447185889
  NPD (past)

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

• Sana Healthcare Carrollton

  • General Acute Care Hospital
  • Carrollton, TX
  • NPI 1184262800
  Care Compare affiliation

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1053501809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104622",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LANE",
            "address_2": "SUITE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104622",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4323 N Josey Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104619",
            "country_code": "US",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKOSE",
        "first_name": "BIJU",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "254454",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M7387",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7387",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7383",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "254454",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "254454",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "M7387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188486815",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Edgar Ludgar, P.T.
• Gabrielle Luke, MS, CCC-A
• Casey Lunt, RDMS, RVT
• Tuan Anh Luong, DDS
• Lutz Physical Therapy, PLLC
• Lynne M Lutz, PSYD
• Luxsmile PLLC

• General Practice Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.