Little Lantern Clinic LLC
NPI 1114409133ActiveOrganization· General Practice· Carrollton, TX
General Practice in Carrollton, Texas, registered in NPPES in September 2018. The authorized official on file is Biju Lukose, MD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114409133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2018 |
| Last updated in NPPES | Jul 2, 2024 |
| Certified by provider | Jul 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | M7387 | TX |
| Internal Medicine | 207R00000X | — | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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