Individual provider Active NPI

Elana Beckerman, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1609035161
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.119889 Issued in IL
Practice address
1643 N Larrabee St
Unit G
Chicago, IL 60614-6097
Phone
(312) 335-9225
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.119889 IL Primary

Addresses

Primary practice location

1643 N Larrabee St
Unit G
Chicago, IL 60614-6097

Mailing address

1643 N Larrabee St
Unit G
Chicago, IL 60614-6097
Phone (312) 335-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080712000143 IL Practitioner - Emergency Medicine 8123190899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

47 W Polk St
Suite G1
Chicago, IL 60605-2083
Phone (773) 702-1000

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.119889ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago CurrentSince Sep 1, 2023 Accepting new patients
University of Chicago CurrentSince Sep 1, 2023 Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Unimed, LTD Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

Interoperability endpoints

  • Direct secure messaging: ebeckerman277455@uchospital.direct-ci.com

Organizations & group practices 5

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 1

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1609035161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 N LARRABEE ST",
            "address_2": "UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146097",
            "telephone_number": "312-335-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 N LARRABEE ST",
            "address_2": "UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146097",
            "telephone_number": "312-335-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERMAN",
        "first_name": "ELANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.119889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.