Individual provider Active NPI

Anthony G Bekkerman, M.D.

  • Emergency Medicine Physician
  • Dededo, GU
National Provider Identifier
1164522819
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036099860 Issued in IL
Practice address
133 Route 3
Dededo, GU 96929-6911
Phone
(671) 645-5500
NPI assigned
Sep 23, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 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

TypeEndpointUseAffiliation
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061205000163 IL Practitioner - Emergency Medicine 4385643170 Reassigns benefits to 4 organizations
I20240717004346 FL Practitioner - Emergency Medicine 4385643170 Reassigns benefits to 1 organization

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
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

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

LicenseStateTypeSpecialty
036099860ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Jun 1, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Mar 31, 2024 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 22, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 22, 2023 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Apr 20, 2024 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 12, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Sources for this page

Verify at the official NPI Registry.