Active NPI
Anthony J Buecker, M.D.
- Emergency Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.133966
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-5408 - Phone
- (309) 672-5500
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.133966 | IL | Primary |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-5408
Mailing address
10814 N Autumn TRL
Brimfield, IL 61517-9716
Phone (309) 370-5382
Other practice location 1
530 NE Glen Oak Ave
Peoria, IL 61637-5408
Phone (309) 655-2109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.133966 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Bloomington Medical Laboratory Physicians, S.C. | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| St Joseph Medical Center | Emergency Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Osf Healthcare System | Emergency Medicine | Current | Accepting new patients |
| St Joseph Medical Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| St Joseph Medical Center | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Care Clinic/Center
- Peoria, IL
- NPI 1265966048
-
dba Osf Holy Family Medical Center
- Critical Access Hospital
- Monmouth, IL
- NPI 1548393184
-
dba Osf Holy Family Clinics
- Rural Health Clinic/Center
- Monmouth, IL
- NPI 1679606073
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Physical Medicine & Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Peoria, IL
- NPI 1023062312
-
dba Saint James Hospital - Multiple Hospital Departments
- Anesthesiology Physician
- Pontiac, IL
- NPI 1790735421
-
dba OSFMG - Bloomington
- Family Medicine Physician
- Bloomington, IL
- NPI 1871547414
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Anatomic Pathology & Clinical Pathology Physician
- Bloomington, IL
- NPI 1841229507
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba OSF Holy Family Medical Center
- General Practice Physician
- Monmouth, IL
- NPI 1093834301
Emergency Medicine
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1043504368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10814 N AUTUMN TRL",
"city": "BRIMFIELD",
"state": "IL",
"postal_code": "615179716",
"telephone_number": "309-370-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616365408",
"telephone_number": "309-672-5500"
}
],
"practiceLocations": [
{
"address_1": "530 NE Glen Oak Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616375408",
"country_code": "US",
"telephone_number": "309-655-2109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUECKER",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-03",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.133966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.