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

Lucas Knewstub

Individual provider Emergency Medicine Physician · NPI 1083103642

Lucas Knewstub is an Emergency Medicine in Ithaca, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2018, 8 years ago. Practices with Cma Medical Practice PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

101 Dates Dr
Ithaca, NY 14850-1383
Phone: (607) 274-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 308462 (NY)

Record details

NPI number1083103642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address101 Dates Dr, Ithaca, NY 14850-1342

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2018 (8 years in practice)
Group practice Cma Medical Practice Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ithaca