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

Dr. Jonathan Lucking, MD

Individual provider Surgery Physician · NPI 1366889545

Dr. Jonathan Lucking, MD is a Colorectal Surgery (Proctology) in Urbana, Illinois. Graduated from Wayne State University School of Medicine in 2013, 13 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida, Illinois and New Jersey.

Years since qualifying
13
Trained at
Wayne State University School of Medicine
Licensed in
FL, IL, NJ
In the registry since
2013
Specialties on file
4
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

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 333-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 685 Peachwood Dr, Deland, FL 32720-0804 — (386) 738-5300
  • 2415 N Orange Ave Ste 300, Orlando, FL 32804 — (407) 303-2615
  • 3900 Park Ave Ste 101, Edison, NJ 08820 — (732) 494-6640

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036161715 (IL)
Surgery Physician Taxonomy 208600000X · Licence 25MA10294700 (NJ)
Surgery Physician Taxonomy 208600000X · Licence ME141153 (FL)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence ME141153 (FL)

Record details

NPI number1366889545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2013
Last updated in NPPESDecember 22, 2022
Certification dateDecember 21, 2022
Mailing address611 W. Park St., Fapc, Urbana, IL 61801-0804

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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