Ihc Beaver Dam Emergency Physicians, LLC
NPI 1912109836 · Emergency Medicine Physician · Beaver Dam, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ihc Beaver Dam Emergency Physicians, LLC is a Emergency Medicine Physician organization in Beaver Dam, WI (NPI 1912109836).
Provider details
- NPI number
- 1912109836
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Kennedy, Authorized Official(207) 807-9009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Frequently asked questions
- What is Ihc Beaver Dam Emergency Physicians, LLC's NPI number?
- Ihc Beaver Dam Emergency Physicians, LLC's National Provider Identifier (NPI) is 1912109836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ihc Beaver Dam Emergency Physicians, LLC?
- Ihc Beaver Dam Emergency Physicians, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ihc Beaver Dam Emergency Physicians, LLC located?
- Ihc Beaver Dam Emergency Physicians, LLC's practice location on file with NPPES is 707 S University Ave, Beaver Dam, WI 53916-3027.
- What is Ihc Beaver Dam Emergency Physicians, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ihc Beaver Dam Emergency Physicians, LLC is (954) 939-5000.
- Does Ihc Beaver Dam Emergency Physicians, LLC accept Medicare?
- Ihc Beaver Dam Emergency Physicians, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ihc Beaver Dam Emergency Physicians, LLC?
- The authorized official listed on Ihc Beaver Dam Emergency Physicians, LLC's NPPES record is Christopher Kennedy, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ihc Beaver Dam Emergency Physicians, LLC's NPI active?
- Yes — Ihc Beaver Dam Emergency Physicians, LLC's NPI (1912109836) is active in the NPPES registry as of the last update on 2026-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.