Active NPI
Anthony H Dekker, DO
- Addiction Medicine (Family Medicine) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 5101007766
- Practice address
- 4212 N 16TH St
Phoenix, AZ 85016-5319 - Phone
- (602) 762-1908
- Fax
- (602) 263-1637
- NPI assigned
- Aug 30, 2006
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101007766 | MI | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 5101007766 | MI | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 5101007766 | MI | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 5101007766 | MI | |
| Family Medicine Physician | 207Q00000X | 5101007766 | MI | |
| Pain Medicine Physician | 208VP0000X | 5101007766 | MI | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101007766 | MI | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 5101007766 | MI |
Addresses
Primary practice location
4212 N 16TH St
Phoenix, AZ 85016-5319
Mailing address
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691
Other practice location 1
200 Lee St
Winslow, AZ 86047-2603
Phone (928) 289-3396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0713420 | Other | AZ | BCBS |
| 460212 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 N Williamson Ave
Winslow, AZ 86047-2735
200 Lee St
Winslow, AZ 86047-2603
Phone (928) 289-3396
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Electric City Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Community Hospital Association, Inc. | Past | Accepting new patients |
Locations
200 Lee St
Winslow, AZ 86047
Phone (928) 226-6400
1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
7939 Floyd St
Ste 100
Overland Park, KS 66204
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Interoperability endpoints
- anthony.dekker.1@15058.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Emergency Medicine Physician
- Butler, MO
- NPI 1659604254
-
- General Practice Physician
- Winslow, AZ
- NPI 1538321674
-
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
-
- Rural Health Clinic/Center
- Wickenburg, AZ
- NPI 1225274210
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1285744490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N WILLIAMSON AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472735",
"telephone_number": "928-289-4691",
"fax_number": "928-289-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165319",
"telephone_number": "602-762-1908",
"fax_number": "602-263-1637"
}
],
"practiceLocations": [
{
"address_1": "200 Lee St",
"address_purpose": "LOCATION",
"city": "Winslow",
"state": "AZ",
"postal_code": "860472603",
"country_code": "US",
"telephone_number": "928-289-3396",
"fax_number": "928-289-2801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEKKER",
"first_name": "ANTHONY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101007766",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MI",
"license": "5101007766",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MI",
"license": "5101007766",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "5101007766",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007766",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MI",
"license": "5101007766",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101007766",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "MI",
"license": "5101007766",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0713420",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460212",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.