Individual provider Active NPI

Eric H Beck, DO, EMT-P

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1821259490
Registry record updated May 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125055762 Issued in IL
Practice address
5841 S Maryland Ave # Mc5068
University of Chicago Medical Center
Chicago, IL 60637-1447
Phone
(773) 702-9500
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X PA
Emergency Medicine Physician 207P00000X OT012475 PA
Paramedic 146L00000X 101871 OH
Emergency Medicine Physician 207P00000X 125055762 IL Primary
Emergency Medicine Physician 207P00000X 02003669A IN

Addresses

Primary practice location

5841 S Maryland Ave # Mc5068
University of Chicago Medical Center
Chicago, IL 60637-1447

Mailing address

5841 S Maryland Ave # Mc5068
University of Chicago Medical Center
Chicago, IL 60637-1447
Phone (773) 702-9500

Other identifiers 2

IdentifierTypeStateIssuer
125055762OtherILIL STATE MEDICAL BOARD
02003669AOtherININ STATE PLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20141022002183 TX Practitioner - Emergency Medicine 2466406566 Reassigns benefits to 2 organizations
I20150127001706 OH Practitioner - Emergency Medicine 2466406566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Emergency Medical Technician - Paramedic

State licenses

LicenseStateTypeSpecialty
101871OHMDParamedic
125055762ILMDEmergency Medicine Physician
02003669AINMDEmergency Medicine Physician
OT012475PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Aug 17, 2017 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jul 22, 2018 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Aug 17, 2017 Accepting new patients
Caos, a Medical Corporation PastSince Jan 1, 2015 Accepting new patients
Central Laboratory Services, Inc. PastSince Jan 15, 2015 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

3500 Gaston Ave
Dallas, TX 75246

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Interoperability endpoints

  • Direct secure messaging: ebeck244645@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of the Western Reserve at University Hospitals, LLCCleveland, OH, CCN 361678 Hospice 5% Or Greater Indirect Ownership Interest
Corporate Director
Jan 1, 2019
Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275177600000",
    "number": "1821259490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC5068",
            "address_2": "UNIVERSITY OF CHICAGO MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC5068",
            "address_2": "UNIVERSITY OF CHICAGO MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "ERIC",
        "middle_name": "H",
        "credential": "DO, EMT-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2010-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT012475",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OH",
            "license": "101871",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125055762",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02003669A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE MEDICAL BOARD",
            "identifier": "125055762",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN STATE PLA",
            "identifier": "02003669A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.