Active NPI
Anthony G Bekkerman, M.D.
- Emergency Medicine Physician
- Dededo, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036099860
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- NPI assigned
- Sep 23, 2006
- Last updated
- Jul 11, 2024
- 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 | 036099860 | IL | Primary |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
1212 N Lake Shore Dr
31CS
Chicago, IL 60610-2371
Phone (847) 650-7427
Other practice location 1
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 213-4200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abekkerman375959@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036099860 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Emergency Medicine Specialists, LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Chicago Central Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Chicago Central Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Iems Physician Services PLLC | Emergency Medicine | Current | Accepting new patients |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Ihc-Libertyville Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 27)
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
407 Uluniu St
Fl 4
Kailua, HI 96734
Phone (808) 261-3326
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
29373 Network Pl
Chicago, IL 60673
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
900 Garfield Ave
Libertyville, IL 60048
Phone (847) 362-2900
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011
Interoperability endpoints
- abekkerman375959@direct.myadvocateaurora.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Urbana, IL
- NPI 1790544047
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1093162836
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bolingbrook, IL
- NPI 1003150962
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1659396521
-
dba HEPA, Inc.
- Emergency Medicine Physician
- Kailua, HI
- NPI 1801843198
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Emergency Medicine Physician
- Libertyville, IL
- NPI 1053423541
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
dba HCA Florida Blake Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
dba Osf Heart of Mary Medical Center
- Land Ambulance
- Urbana, IL
- NPI 1093228835
Hospital
-
dba Osf Heart of Mary Medical Center
- Psychiatric Hospital Unit
- Urbana, IL
- NPI 1649783473
-
dba Osf Heart of Mary Medical Center
- General Acute Care Hospital
- Urbana, IL
- NPI 1659884476
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1164522819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 N LAKE SHORE DR",
"address_2": "31CS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102371",
"telephone_number": "847-650-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ROUTE 3",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969296911",
"telephone_number": "671-645-5500"
}
],
"practiceLocations": [
{
"address_1": "17800 Kedzie Ave",
"address_purpose": "LOCATION",
"city": "Hazel Crest",
"state": "IL",
"postal_code": "604292029",
"country_code": "US",
"telephone_number": "708-213-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEKKERMAN",
"first_name": "ANTHONY",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036099860",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abekkerman375959@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "17800 Kedzie Ave",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17800 Kedzie Ave",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dededo, GU
- Meagan Bamba-Ada, FNP-C
- Woonjeong Banks, CRNA
- Bryan Christopher Bansil, DNP, ACNPC-AG
- Joleen Aguon Baza, LPC
- Dennis D. Beckworth, MD
- BJR (Simply RX Pharmacy)
- Andrew Elliott Blakley, FNP-BC
- Blue Continent Healthcare Guam Medical City LLC (GRMC Specialty Care Center)
- Blue Continent Healthcare Guam Medical City LLC (Guam Regional Medical City)
- Blue Ocean Medical Group LLC (IHP Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.