Active NPI
Walter Drubka, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Freeport, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Practice address
- 1045 W Stephenson St
Freeport, IL 61032-4864 - Phone
- (815) 599-6000
- NPI assigned
- Mar 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | IL | Primary |
Addresses
Primary practice location
1045 W Stephenson St
Freeport, IL 61032-4864
Mailing address
1045 W Stephenson St
PO Box 857
Freeport, IL 61032-4864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-071982 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Loop 101 Emergency Physicians LLC | Current | Accepting new patients | |
| Emcare - PNX Emergency Physicians LLC | Current | Accepting new patients | |
| Morsay Physical Medicine Center LTD. | Past | Accepting new patients | |
| Team Physicians of Arizona PC | Past | Accepting new patients | |
| Emergency Physicians Professional Association LTD | Past | Accepting new patients |
Locations
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1902855992
-
- Surgery Physician
- Scottsdale, AZ
- NPI 1801092564
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1376573378
-
- Prosthetic/Orthotic Supplier
- Peoria, AZ
- NPI 1386456762
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- Physical Therapy Clinic/Center
- Rockford, IL
- NPI 1952311706
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1710915764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316916331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W STEPHENSON ST",
"address_2": "PO BOX 857",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610324864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W STEPHENSON ST",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610324864",
"telephone_number": "815-599-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUBKA",
"first_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.