Anthony G Bekkerman, M.D.
Individual provider Active NPI Emergency Medicine Physician · Dededo, GU
NPI 1164522819 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1164522819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036099860 (IL)
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 PLLC
Emergency Medicine Services of FL LLC
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
- HCA Florida Sarasota Doctors Hospital
- Osf Heart of Mary Medical Center
- HCA Florida Fawcett Hospital
- HCA Florida Blake Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061205000163 | IL | Practitioner - Emergency Medicine | 4385643170 | Reassigns benefits to 4 organizations |
| I20240717004346 | FL | Practitioner - Emergency Medicine | 4385643170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036099860 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Illinois Emergency Medicine Specialists, LLC | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current |
Accepting new patients |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Current |
Accepting new patients |
| Iems Physician Services PLLC | Emergency Medicine | 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 | |
| Chicago Central Emergency Physicians, LLP | Emergency Medicine | 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
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
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
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
Interoperability endpoints
- abekkerman375959@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036099860 | IL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M1919 | Medicaid | GU | |
| 036099860 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abekkerman375959@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Dededo, GU
- Meagan Bamba-Ada
- Woonjeong Banks
- Bryan Christopher Bansil
- Joleen Aguon Baza
- Dennis D. Beckworth
- BJR
- Andrew Elliott Blakley
- Blue Continent Healthcare Guam Medical City LLC
- Blue Continent Healthcare Guam Medical City LLC
- Blue Ocean Medical Group LLC
All providers in Dededo, GU · Emergency Medicine Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.