Rick C Luetkemeyer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36-047245 Issued in IL

Practice address

100 NE Adams St
Peoria, IL 61629-1410

Phone

(309) 675-4687

Fax

(309) 675-1076

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rick C Luetkemeyer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316165632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616291410",
            "telephone_number": "309-675-4687",
            "fax_number": "309-675-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616291410",
            "telephone_number": "309-675-4687",
            "fax_number": "309-675-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETKEMEYER",
        "first_name": "RICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36-047245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "LUETKEMEYER",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vicki Lucas, PT
• Henry T Luchtefeld, RPH
• Robert John Lucia, DNP, APRN-FPA, FNP
• Douglas Phillip Luebcke
• Luke Michael Luetkemeyer, M.D.
• Kevin Paul Lui, MD
• Susan J Luiten
• Steven P Lukancic, MD
• Michael Jose Lukas, MD
• Brady Lumsargis, MSWCL

• Internal Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.