Active NPI
Kevin Lukose, M.D.
- Anesthesiology Physician
- Hollywood, FL
National Provider Identifier
1639818214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35209
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 987-2000
- NPI assigned
- Jun 1, 2022
- Last updated
- Sep 16, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35209 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 83702 | MN |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
1150 NW 13TH St Apt 274C
Boca Raton, FL 33486-2264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35209 | FL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1639818214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 NW 13TH ST APT 274C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-987-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOSE",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "35209",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "83702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
- La Donna L Lue Winston, APRN,ACAGNP, MSN ED.
- Yaima Lugones Marcell, M.ED, BCBA
- Luis a. Robaina MD PA
- Luis F Tami PA (Heart & Vascular Center of South Florida)
- Jelena Lukitsjova
- Marie Lumbart
- Emily C Lundy, LMT
- Tammy Lundy, C.A.M.F., C.E.I.F.
- Alexandra S Lupo, FNP-BC
- Carla Alexandra Luque, PHARM.D., M.S., C.PH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.