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

Jeremy R. Luedtke, MD

Individual provider Surgery Physician · NPI 1891900783

Jeremy R. Luedtke, MD is a General Surgery in LA Porte, Indiana. Graduated from Medical College of Wisconsin in 2006, 20 years ago. Practices with Porter Physician Services LLC, a 96-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Michigan and Wisconsin.

Years since qualifying
20
Trained at
Medical College of Wisconsin
Licensed in
IN, MI, WI
In the registry since
2007
Specialties on file
3
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

400 Legacy Plz W
LA Porte, IN 46350-5296
Phone: (219) 379-3166
Fax: (219) 324-9730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1715 Dousman St, Green Bay, WI 54303-3211 — (920) 496-4700
  • 1715 Dousman St, Green Bay, WI 54303-3211 — (920) 496-4700

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01079264A (IN)
Surgery Physician Taxonomy 208600000X · Licence 4301087609 (MI)
Surgery Physician Taxonomy 208600000X · Licence 57033-20 (WI)

Record details

NPI number1891900783
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2006 (20 years in practice)
Group practice Porter Physician Services Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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