Individual provider Active NPI

David Elkin

  • Emergency Medicine Physician
  • Parker, AZ
National Provider Identifier
1891291506
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A174573 Issued in CA
Practice address
12033 Agency Rd
Parker, AZ 85344-7718
Phone
(928) 669-2137
Fax
(928) 669-3131
NPI assigned
Apr 2, 2018
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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 036179786 IL
Emergency Medicine Physician 207P00000X A174573 CA Primary

Addresses

Primary practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

4802 10TH Ave
Brooklyn, NY 11219-2916

Other practice location 1

201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 35130

Other practice location 2

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 55620

Other practice location 3

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721 ext. 65150

Other practice location 4

1045 W Stephenson St
Freeport, IL 61032-4899
Phone (815) 599-6000

Other practice location 5

1045 W Stephenson St
Freeport, IL 61032-4899
Phone (815) 599-6000

Other practice location 6

Maimonides Medical Center
4802 10th Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8000

Other practice location 7

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-0350

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address delkin389529@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, WI, VI, AZ, NC, IL7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20220810000765 CA Practitioner - Emergency Medicine 1254676257 Reassigns benefits to 6 organizations
I20230601000651 HI Practitioner - Emergency MedicinePractitioner - Sports Medicine 1254676257 Reassigns benefits to 2 organizations
I20231130001721 WI Practitioner - Emergency Medicine 1254676257 Reassigns benefits to 1 organization
I20250312000498 VI Practitioner - Emergency Medicine 1254676257 Reassigns benefits to 1 organization
I20250619000545 AZ Practitioner - Emergency Medicine 1254676257 Reassigns benefits to 1 organization
I20251002003690 NC Practitioner - Emergency Medicine 1254676257 Reassigns benefits to 1 organization
I20260522000506 IL Practitioner - Emergency Medicine 1254676257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Southwest PCGroup PAC ID 2264538529, 96 clinicians
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-9431

807 S Ponderosa St
Payson, AZ 85541-5542
Phone (520) 474-3222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174573CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacifica Emergency Medical Associates Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Team Physicians of Southern California Medical Group, Inc. Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Aurora Medical Center of Oshkosh, Inc Emergency Medicine CurrentSince Oct 11, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 30, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Shasta Emergency Medical Associates Inc Emergency Medicine CurrentSince Aug 7, 2023 Accepting new patients
Shasta Regional Medical Group Inc Emergency Medicine CurrentSince Sep 5, 2024 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Straub Clinic & Hospital CurrentSince Jul 30, 2023 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Sep 5, 2024 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince May 24, 2023 Accepting new patients
Providence Facey Medical Foundation CurrentSince Sep 15, 2022 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Providence Facey Medical Foundation CurrentSince Sep 15, 2022 Accepting new patients
Carbon Health Primary Care of California PC CurrentSince Oct 24, 2022 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Aurora Health Care Central, Inc. Emergency Medicine Past Accepting new patients

Locations (25 of 27)

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1555 East St
Ste 120
Redding, CA 96001
Phone (530) 242-6122

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

21835 Ventura Blvd
Ste 21837
Woodland Hills, CA 91364
Phone (818) 600-7348

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: delkin389529@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1891291506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 AGENCY RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447718",
            "telephone_number": "928-669-2137",
            "fax_number": "928-669-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171 x35130",
            "fax_number": "618-351-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156 x55620",
            "fax_number": "618-529-0524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721 x65150",
            "fax_number": "618-457-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324899",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324899",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Maimonides Medical Center",
            "address_2": "4802 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192916",
            "country_code": "US",
            "telephone_number": "718-283-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Dr Warren Tuttle Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629462718",
            "country_code": "US",
            "telephone_number": "618-253-0350",
            "fax_number": "618-252-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036179786",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A174573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "delkin389529@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
            "affiliation": "N",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.