Active NPI
David Robert Anthony, M.D., M.P.H.
- Emergency Medicine Physician
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036140404
- Practice address
- 1 Kish Hospital Dr
Dekalb, IL 60115-9602 - Phone
- (815) 766-7334
- Fax
- (815) 766-9768
- NPI assigned
- May 19, 2008
- Last updated
- Jul 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 254828 | NY | |
| Emergency Medicine Physician | 207P00000X | 036140404 | IL | Primary |
Addresses
Primary practice location
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Mailing address
525 E 68TH St
Emergency Department
New York, NY 10065-4870
Other practice location 1
525 E 68th St
Emergency Department
New York, NY 10065-4870
Phone (212) 746-5026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036140404 | IL | MD | Emergency Medicine Physician |
| 254828 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Emergency Medicine Specialists, LLC | Current | Accepting new patients | |
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Belvidere Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Rockford Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Dupage Emergency Physicians Convenient Care LLC | Emergency Medicine | Current | Accepting new patients |
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| Weill Medical College of Cornell | Emergency Medicine | Past | Accepting new patients |
| New York Downtown Hospital FPP | Emergency Medicine | Past | Accepting new patients |
Locations
1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
6840 Main St
Downers Grove, IL 60516
Phone (630) 275-2600
15900 W 127th St
Lemont, IL 60439
Phone (630) 243-7100
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
Interoperability endpoints
- danthony509855@direct-ehr-ssmhc.com
- danthony823926@direct.froedtert.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1306543319
-
- Emergency Medicine Physician
- Lemont, IL
- NPI 1922000363
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bolingbrook, IL
- NPI 1003150962
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1639876634
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
dba Froedtert Northeast Medical Group
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Emergency Medicine Physician
- Downers Grove, IL
- NPI 1255323481
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
-
dba NYDH Emergency Services
- Emergency Medicine Physician
- New York, NY
- NPI 1629036751
-
dba Cornell Emer.Dept.Phsyicians
- Emergency Medicine Physician
- New York, NY
- NPI 1205882586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1649437682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159602",
"telephone_number": "815-766-7334",
"fax_number": "815-766-9768"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_2": "Emergency Department",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTHONY",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "254828",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036140404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.