Active NPI
James Lee Becker, M.D.
- Anesthesiology Physician
- Waukee, IA
National Provider Identifier
1124004379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 27451
- Practice address
- 35303 Cabernet Cir
Waukee, IA 50263-7047 - Phone
- (515) 371-6996
- NPI assigned
- Dec 20, 2005
- Last updated
- Sep 30, 2021
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 27451 | IA | Primary |
Addresses
Primary practice location
35303 Cabernet Cir
Waukee, IA 50263-7047
Mailing address
35303 Cabernet Cir
Waukee, IA 50263-7047
Phone (515) 371-6996
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050036215 | Other | IA | RAILROAD MEDICARE # |
| 27451 | Other | IA | TRICARE PROVIDER # |
| IA0146 | Other | IA | JOHN DEERE PROVIDER # |
| 29841 | Other | IA | BLUE SHIELD PROVIDER # |
| 0063685 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1124004379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35303 CABERNET CIR",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502637047",
"telephone_number": "515-371-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35303 CABERNET CIR",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502637047",
"telephone_number": "515-371-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JAMES",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "27451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "050036215",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER #",
"identifier": "27451",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER #",
"identifier": "IA0146",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "29841",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0063685",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.