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IHC BEAVER DAM EMERGENCY PHYSICIANS, LLC
NPI 1912109836
Emergency Medicine in Beaver Dam, WI

Active since June 04, 2007
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(954) 939-5000(484) 342-5201 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2026, Sep 19, 2025, Mar 30, 2023 and 3 more (6 updates tracked since 2019).

About Ihc Beaver Dam Emergency Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IHC BEAVER DAM EMERGENCY PHYSICIANS, LLC (NPI 1912109836) is a healthcare organization registered as an emergency medicine in Beaver Dam, Wisconsin and active in the NPI registry since June 2007. The organization lists Christopher Kennedy, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1912109836
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameIHC BEAVER DAM EMERGENCY PHYSICIANS, LLC
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing AddressPo Box 781129Philadelphia, PA 19178-1129 · (954) 939-5000 · Fax (877) 250-6889
Phone(954) 939-5000
Fax(484) 342-5201
Organization SubpartNo
Authorized OfficialChristopher KennedyAuthorized Official · (207) 807-9009
Enumeration DateJune 4, 2007
Last NPPES UpdateMay 22, 20266 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1912109836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
707 S UNIVERSITY AVE, Beaver Dam, WI 53916
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ihc Beaver Dam Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Ihc Beaver Dam Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Emergency Medicine30
Nurse Practitioner2

Nearest to this location (20)

See all 32
Richard Lu, APNP
Nurse Practitioner
NPI 1821899949
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts MedicareSame address
Bryan Lassner, M.D.
Emergency Medicine
NPI 1871859884
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-6606
✔ PECOS✔ Accepts MedicareSame address
Richard Tovar, M.D.
Emergency Medicine
NPI 1437187341
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(414) 290-6720
✔ PECOSSame address
Eric Kotal, MD
Emergency Medicine
NPI 1194036368
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-6606
✔ PECOS✔ Accepts MedicareSame address
Louis Scrattish, MD
Emergency Medicine
NPI 1154581668
1515 MORRISON ST
Madison, WI 53703
(608) 469-6572
✔ PECOS37 mi
Kevin Polglaze, DO
Emergency Medicine
NPI 1053555367
855 N WESTHAVEN DR
Oshkosh, WI 54904
(920) 456-7400
✔ PECOS✔ Accepts Medicare41 mi
Paul Truong, DO
Emergency Medicine
NPI 1598380123
9200 W WISCONSIN AVE
Milwaukee, WI 53226
(414) 955-6450
✔ PECOS✔ Accepts Medicare50 mi
Michael Brin, D.O.
Emergency Medicine
NPI 1144283110
111 E WISCONSIN AVE SUITE 2000
Milwaukee, WI 53202
(414) 290-6720
✔ PECOS55 mi
Gerard Dynkowski, M.D.
Emergency Medicine
NPI 1255383790
111 E WISCONSIN AVE SUITE 2000
Milwaukee, WI 53202
(414) 290-6720
✔ PECOS55 mi
Brian Huettl, M.D.
Emergency Medicine
NPI 1447293352
111 E WISCONSIN AVE
Milwaukee, WI 53202
(414) 290-6720
✔ PECOS✔ Accepts Medicare55 mi
Martin Rene, M.D.
Emergency Medicine
NPI 1144264086
111 E WISCONSIN AVE
Milwaukee, WI 53202
(414) 290-6720
✔ PECOS✔ Accepts Medicare55 mi
Thanh Tran, MD
Emergency Medicine
NPI 1437175817
111 E WISCONSIN AVE STE 2100
Milwaukee, WI 53202
(414) 290-6700
✔ PECOS✔ Accepts Medicare55 mi
Swen Hilander, M.D.
Emergency Medicine
NPI 1669402525
111 E WISCONSIN AVE
Milwaukee, WI 53202
(414) 290-6720
✔ PECOS✔ Accepts Medicare55 mi
Max Geers, M.D.
Emergency Medicine
NPI 1629417068
3400 UNION AVE
Sheboygan, WI 53081
(920) 802-2100
✔ PECOS✔ Accepts Medicare57 mi
Spencer Greaves, MD
Emergency Medicine
NPI 1457844102
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare62 mi
Carolyn Hellman, D.O.
Emergency Medicine
NPI 1497789929
1405 MILL ST
New London, WI 54961
(920) 531-2000
✔ PECOS64 mi
Benjamin Feinzimer, D.O.
Emergency Medicine
NPI 1205003142
6308 8TH AVE
Kenosha, WI 53143
(414) 290-6720
✔ PECOS✔ Accepts Medicare80 mi
William Haselow, M.D.
Emergency Medicine
NPI 1811942444
900 W CLAIREMONT AVE
Eau Claire, WI 54701
(414) 290-6715
✔ PECOS162 mi
Bradley Bourkland, MD
Emergency Medicine
NPI 1710914213
9601 TOWNLINE RD
Minocqua, WI 54548
(715) 358-1000
✔ PECOS✔ Accepts Medicare173 mi
Angela Lowery, FNP - BC
Nurse Practitioner
NPI 1073018982
360 S LOLA LN
Pahrump, NV 89048
(954) 939-5000
✔ PECOS✔ Accepts Medicare1,522 mi
See all 32 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ihc Beaver Dam Emergency Physicians, LLC's NPI number?

The NPI number for Ihc Beaver Dam Emergency Physicians, LLC is 1912109836. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Ihc Beaver Dam Emergency Physicians, LLC located?

Ihc Beaver Dam Emergency Physicians, LLC is located at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (954) 939-5000.

What is Ihc Beaver Dam Emergency Physicians, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ihc Beaver Dam Emergency Physicians, LLC enrolled in Medicare?

Yes. Ihc Beaver Dam Emergency Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ihc Beaver Dam Emergency Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 2 Medicare specialties reassign their Medicare billing to Ihc Beaver Dam Emergency Physicians, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (30) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ihc Beaver Dam Emergency Physicians, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Ihc Beaver Dam Emergency Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ihc Beaver Dam Emergency Physicians, LLC was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.