Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Jonathan Lugo, MD

Individual provider Diagnostic Radiology Physician · NPI 1033537857

Charles Jonathan Lugo, MD is a Diagnostic Radiology in Stony Brook, New York. Graduated from University of Wisconsin School of Medicine in 2014, 12 years ago. Practices with Sanford Clinic, a 56-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida, Illinois, Kentucky and Minnesota and 1 more.

Years since qualifying
12
Trained at
University of Wisconsin School of Medicine
Licensed in
FL, IL, KY, MN, NY
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-2118
Phone: (631) 444-5400
Fax: (631) 444-7538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4250 Hospital Dr, Marianna, FL 32446-1917 — (850) 718-2531
  • 1025 S 6th St, Springfield, IL 62703-2499 — (217) 528-7541
  • 231 E Chestnut St, Louisville, KY 40202-1821 — (502) 629-7650

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 312752 (NY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 76554 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME144236 (FL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence C3181 (KY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 036177510 (IL)

Record details

NPI number1033537857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2014
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing addressPo Box 1559, Stony Brook, NY 11794-8460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Sanford Clinic — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Stony Brook