Individual provider Active NPI

Brandon Lukacs

  • Physician Assistant
  • Poughkeepsie, NY
National Provider Identifier
1356185318
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1910 South Rd
Poughkeepsie, NY 12601-6053
Phone
(845) 790-4357
NPI assigned
Jun 24, 2024
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1910 South Rd
Poughkeepsie, NY 12601-6053

Mailing address

1678 Asylum Ave
West Hartford, CT 06117-2764

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (617) 724-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240925003916 NY Practitioner - Physician Assistant 1850832254 Reassigns benefits to 1 organization
I20260303001696 MA Practitioner - Physician Assistant 1850832254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

4 W St
Orthopedics and Sports Medicine
West Hatfield, MA 01088-9562
Phone (413) 586-8200

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-7707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
032437NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Oct 15, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Feb 23, 2026 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical PastSince Jun 30, 2024 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

4 West St
West Hatfield, MA 01088
Phone (413) 570-1177

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

Interoperability endpoints

  • Direct secure messaging: blukacs@ons.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1356185318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 ASYLUM AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016053",
            "telephone_number": "845-790-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-724-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKACS",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.