NPIMap

Organization Active NPI

Little Lantern Clinic LLC

Doing business as US Clinics

  • General Practice Physician
  • Carrollton, TX
National Provider Identifier
1114409133
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M7387 Issued in TX
Legal business name
LITTLE LANTERN CLINIC LLC
Doing business as
US Clinics
US Medical Clinics
US Surgical Clinics1 more in Other names
Practice address
4541 N Josey LN Ste 110
Carrollton, TX 75010-4622
Phone
(469) 788-8588
Fax
(469) 788-7800
NPI assigned
Sep 6, 2018
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Biju Lukose, MDNPI 1053501809
Title
Director
Phone
(469) 788-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X M7387 TX Primary

Addresses

Primary practice location

4541 N Josey LN Ste 110
Carrollton, TX 75010-4622

Mailing address

4541 N Josey LN Ste 110C
Carrollton, TX 75010-4622
Phone (469) 788-8588

Other practice location 1

9 Medical Pkwy Fl 2
Farmers Branch, TX 75234-7858
Phone (469) 788-8588

Other practice location 2

4323 N Josey Ln Ste 100
Carrollton, TX 75010-4619
Phone (469) 788-8588

Other names 4

  • US Clinics Doing business as
  • US Medical Clinics Doing business as
  • US Surgical Clinics Doing business as
  • US Visiting MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181003001751 TX Part B Supplier - Clinic/Group Practice 0446502322 Receives reassigned benefits from 22 practitioners
Practice locations: Austin, TX; Carrollton, TX; McKinney, TX; Missouri City, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

4323 N Josey Ln
Ste 100
Carrollton, TX 75010
Phone (214) 731-9007

4541 N Josey Ln
Ste 110C
Carrollton, TX 75010

9 Medical Pkwy
Fl 2
Farmers Branch, TX 75234

7070 Knights Ct
Ste 703
Missouri City, TX 77459

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1114409133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 110C",
            "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 LN STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104622",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Medical Pkwy Fl 2",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752347858",
            "country_code": "US",
            "telephone_number": "469-788-8588",
            "fax_number": "469-788-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": {
        "organization_name": "LITTLE LANTERN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "LUKOSE",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-788-8545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "M7387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Surgical Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Visiting MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.