Individual provider Active NPI

Gina Elizabeth Rebesco, MD

  • Radiation Oncology Physician
  • Grand Rapids, MI
National Provider Identifier
1013444967
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD.38309 Issued in AL
Practice address
145 Michigan St NE Ste 1100
Grand Rapids, MI 49503-2562
Phone
(616) 486-5750
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X LL52664 SC
Radiation Oncology Physician 2085R0001X MD.38309 AL Primary

Addresses

Primary practice location

145 Michigan St NE Ste 1100
Grand Rapids, MI 49503-2562

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 975-0222

Other practice location 1

169 Ashley Ave Rm 202
Charleston, SC 29425
Phone (843) 792-3273

Other practice location 2

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 975-0222

Other practice location 3

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 975-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220616002215 MI Practitioner - Radiation Oncology 4981971991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Indiana University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Centers PCGroup PAC ID 2860437092, 9 clinicians

Practice addresses (Care Compare)

145 Michigan St NE
Suite 2200
Grand Rapids, MI 49503-2562
Phone (616) 486-5750

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38309ALMDRadiation Oncology Physician
LL52664SCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Centers PC Radiation Oncology CurrentSince Jun 1, 2022 Accepting new patients
Lakeshore Area Radiation Oncology Center PastSince Jun 1, 2022 Accepting new patients

Locations

145 Michigan St NE
Ste 2200
Grand Rapids, MI 49503
Phone (616) 486-5750

145 Michigan St NE
Ste 1100
Grand Rapids, MI 49503
Phone (616) 486-5750

12642 Riley St
Holland, MI 49424
Phone (616) 355-3876

4499 220th Ave
Reed City, MI 49677
Phone (231) 832-5817

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1013444967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-975-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 1100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032562",
            "telephone_number": "616-486-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave Rm 202",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-3273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-975-0222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-975-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBESCO",
        "first_name": "GINA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "LL52664",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "MD.38309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.