BIJU M LUKOSE M.D. NPI 1053501809

NPI Information

NPI: 1053501809
Provider Name: BIJU M LUKOSE, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4541 N JOSEY LANE
SUITE 110
CARROLLTON, TX
ZIP 75010
Phone: (469) 788-8588
Get Directions

Biju M Lukose, M.D. is a general practice in Carrollton, TX with 26 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Biju M Lukose, M.D. NPI is 1053501809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4541 N JOSEY LANE
SUITE 110
CARROLLTON, TX
ZIP 75010-622
Phone: (469) 788-8588
Fax: (469) 788-7800

The NPI 1053501809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	254454	NEW YORK	No
2	207P00000X	Emergency Medicine	M7387	TEXAS	No
3	208600000X	Surgery	M7387	TEXAS	No
4	208600000X	Surgery	M7383	TEXAS	No
5	208600000X	Surgery	254454	NEW YORK	No
6	208D00000X	General Practice	254454	NEW YORK	No
7	208D00000X	General Practice	M7387	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	188486815	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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