Individual provider Active NPI

David Alexander Ostman

  • Emergency Medicine Physician
  • Anna, IL
National Provider Identifier
1053057778
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036176615 Issued in IL
Practice address
517 N Main St
Anna, IL 62906-1668
Phone
(618) 833-4511
NPI assigned
May 5, 2022
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036176615 IL Primary

Addresses

Primary practice location

517 N Main St
Anna, IL 62906-1668

Mailing address

464 Forest St
Wyandotte, MI 48192-6819
Phone (313) 466-0595

Other practice location 1

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 993-2529

Other practice location 2

201 Bailey Ln
Benton, IL 62812-1969
Phone (618) 439-3161

Other practice location 3

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908001522 IL Practitioner - Emergency Medicine 3375922610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians

Practice addresses (Care Compare)

201 Bailey LN
Benton, IL 62812-1969
Phone (618) 439-3161

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

517 N Main St
Anna, IL 62906-1668
Phone (618) 833-4511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC Emergency Medicine CurrentSince Aug 15, 2025 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Aug 15, 2025 Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1053057778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 FOREST ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926819",
            "telephone_number": "313-466-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-993-2529",
            "fax_number": "313-993-7703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Bailey Ln",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "IL",
            "postal_code": "628121969",
            "country_code": "US",
            "telephone_number": "618-439-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Chick St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "629602467",
            "country_code": "US",
            "telephone_number": "618-427-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTMAN",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036176615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

Verify at the official NPI Registry.