Individual provider Active NPI

Walter Drubka, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Freeport, IL
National Provider Identifier
1316916331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000858 AZ Practitioner - Emergency MedicinePractitioner - Internal Medicine 9830179902 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-071982ILMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
Honorhealth Current Accepting new patients
Loop 101 Emergency Physicians LLC CurrentSince Jul 1, 2006 Accepting new patients
Emcare - PNX Emergency Physicians LLC CurrentSince Jul 24, 2023 Accepting new patients
Morsay Physical Medicine Center LTD. PastSince Oct 31, 2009 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.

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

Verify at the official NPI Registry.