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

Luke C. Nicholas, MD

Individual provider Dermatology Physician · NPI 1467509620

Luke C. Nicholas, MD is a Micrographic Dermatologic Surgery (Mds) in Rockford, Michigan. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2006, 20 years ago. Practices with Jack a Dekkinga MD PC, a 20-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and Michigan.

Years since qualifying
20
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MD, MI
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

6150 Northland Dr
Rockford, MI 49341
Phone: (616) 942-9343
Fax: (616) 942-2538
Show map & directions

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

Additional practice locations (2)

  • 3434 Rivertown Point Ct Sw, Grandville, MI 49418-3076 — (616) 257-3344
  • 3290 N Wellness Dr Ste 240, Holland, MI 49424-7261 — (616) 395-9379

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 4301101878 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 4301101878 (MI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence D0082362 (MD)

Record details

NPI number1467509620
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 18, 2024
Certification dateJuly 12, 2024
Mailing address3434 Rivertown Point Ct Sw, Grandville, MI 49418-3076

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2006 (20 years in practice)
Group practice Jack A Dekkinga Md Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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