Active NPI
Eric H Beck, DO, EMT-P
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125055762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125055762 | Other | IL | IL STATE MEDICAL BOARD |
| 02003669A | Other | IN | IN STATE PLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 101871 | OH | MD | Paramedic |
| 125055762 | IL | MD | Emergency Medicine Physician |
| 02003669A | IN | MD | Emergency Medicine Physician |
| OT012475 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Emergency Services Physician Group PA | Emergency Medicine | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Caos, a Medical Corporation | Past | Accepting new patients | |
| Central Laboratory Services, Inc. | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice of the Western Reserve at University Hospitals, LLC | 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.
-
- Community Based Hospice Care Agency
- Cleveland, OH
- NPI 1821561614
5% Or Greater Indirect Ownership Interest, Corporate Director
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Emergency Medicine
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1982006573
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1568799591
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.