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

Individual provider Family Medicine Physician · NPI 1508350935

Shane Lukose, MD is a Family Practice in Danbury, Connecticut. Qualified in 2018, 8 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group and accepts Medicare assignment. Licensed in Connecticut and Pennsylvania.

Years since qualifying
8
Licensed in
CT, PA
In the registry since
2018
Specialties on file
2
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

24 Hospital Ave
Danbury, CT 06810-6099
Phone: (203) 739-6752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69316 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT216301 (PA)

Record details

NPI number1508350935
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2018
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address40 Mayfair Ave, West Hempstead, NY 11552-1513

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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