David Robert Anthony, M.D., M.P.H.
Individual provider Active NPI Emergency Medicine Physician · Dekalb, IL
NPI 1649437682 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1649437682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036140404 (IL)
- Practice address
- 1 Kish Hospital Dr
Dekalb, IL 60115-9602 - Phone
- (815) 766-7334
- Fax
- (815) 766-9768
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254828 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgerton Hospital and Health Services Inc. | Current |
Accepting new patients | |
| Belvidere Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Dupage Emergency Physicians Convenient Care LLC | Emergency Medicine | Current |
Accepting new patients |
| Froedtert Manitowoc Medical Group, LLC | Current |
Accepting new patients | |
| Edgerton Hospital and Health Services, Inc | Current |
Accepting new patients | |
| Rockford Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Illinois Emergency Medicine Specialists, LLC | Current |
Accepting new patients | |
| Morrison Community Hospital District | 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) 275-6840
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 254828 | NY | |
| Emergency Medicine Physician | 207P00000X | 036140404 | IL | Yes |
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
Other providers in Dekalb, IL
- Kody Anderson
- Laura Renee Anderson
- Tisha Anderson
- Rebecca Andrews
- Anesthesia Associates LTD.
- Aperion Care Dekalb LLC
- Aperion Care Dekalb LLC
- Jesus Aquino
- Cecilia Arana
- Gregory J Arnold
All providers in Dekalb, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.