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

Dr. Luke Richard Frederick, MD

Individual provider Urology Physician · NPI 1043507866

Dr. Luke Richard Frederick, MD is an Urology in Rockford, Illinois. Graduated from Southern Illinois University School of Medicine in 2011, 15 years ago. Practices with Rockford Urological Associates Ltd, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2011
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

351 Executive Pkwy
Rockford, IL 61107-5339
Phone: (815) 398-4057
Fax: (815) 398-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036140866 (IL)
Urology Physician Taxonomy 208800000X · Licence 125.059642 (IL)

Record details

NPI number1043507866
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESJune 21, 2016

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Rockford Urological Associates Ltd — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford