Individual provider Active NPI

Anthony H Dekker, DO

  • Addiction Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1285744490
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
5101007766 Issued in MI
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

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AZ0713420OtherAZBCBS
460212MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050718000883 TX Practitioner - Pain ManagementPractitioner - Family Practice 1153358593 Reassigns benefits to 1 organization
I20170712000790 MO Practitioner - Emergency MedicinePractitioner - Family Practice 1153358593 Reassigns benefits to 1 organization
I20251204004688 AZ Practitioner - Family Practice 1153358593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winslow Memorial Hospital IncGroup PAC ID 8628988409, 44 clinicians

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

OrganizationSpecialtyStatusNew patients
Electric City Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 9, 2017 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.