Individual provider Active NPI

David Robert Anthony, M.D., M.P.H.

  • Emergency Medicine Physician
  • Dekalb, IL
National Provider Identifier
1649437682
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036140404 Issued in IL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160809002592 IL Practitioner - Emergency Medicine 1658558879 Reassigns benefits to 5 organizations
I20240701000836 WI Practitioner - Emergency Medicine 1658558879 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140404ILMDEmergency Medicine Physician
254828NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Mar 1, 2023 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients
Morrison Community Hospital District Current Accepting new patients
Belvidere Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince May 8, 2024 Accepting new patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Dupage Emergency Physicians Convenient Care LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Oct 1, 2025 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

  • Direct secure messaging: danthony509855@direct-ehr-ssmhc.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.