Veerasikku Bommiasamy, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036051814 Issued in IL

Practice address

695 N Kellogg St
Galesburg, IL 61401-2807

Phone

(309) 343-8131

NPI assigned

Jul 9, 2006

Last updated

Aug 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bestpractices of Illinois PC

  dba St Josephs Bestpractices

  • Emergency Medicine Physician
  • Bloomington, IL
  • NPI 1760439517
  NPD (past)
• Galesburg Professional Services LLC

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1952542193
  NPD (past)
• Proctor Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Aurora, CO
  • NPI 1912980848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1700819133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960416",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001",
            "telephone_number": "877-485-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMIASAMY",
        "first_name": "VEERASIKKU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036051814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU CESIISC (GES)",
            "identifier": "P00936471",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360518146",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "36051814",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00347048",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360518141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Robert Bicego Jr., DDS
• Angela M Bickett, APN
• Bruce John Bobofchak, DDS,MS
• Ashlyn Boggs, MHP
• William Todd Bollaert, D.D.S.
• Ryan James Bonham, CRNA
• Sara Kimberly Bosworth
• Darcy D Bouchard, R.PH.
• John S Boydstun, M.D.
• Veronika Agnieszka Bozek Webber, MD

• Emergency Medicine Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.