Individual provider Active NPI

Rebecca L Kaminski, D.O.

  • Emergency Medicine Physician
  • Lagrange, IN
National Provider Identifier
1063894483
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
IN-02006284A Issued in IN
Practice address
207 N Townline Rd
Lagrange, IN 46761-1325
Phone
(260) 463-9112
NPI assigned
Jun 22, 2015
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X IN-02006284A IN Primary

Addresses

Primary practice location

207 N Townline Rd
Lagrange, IN 46761-1325

Mailing address

608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Phone (260) 482-5091

Other names 1

  • Rebecca Harden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210330001184 IN Practitioner - Family PracticePractitioner - Emergency Medicine 7214241124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
74.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
83.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN-02006284AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
Interventional Pain Consultants, LLC CurrentSince May 19, 2024 Accepting new patients
Community Hospital of Lagrange County Inc Current Accepting new patients
Parkview Health System Inc Current Accepting new patients
Parkview Health System, Inc. CurrentSince Oct 3, 2023 Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 387-0450

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

Interoperability endpoints

  • Direct secure messaging: rkaminski463214@direct.parkviewexchange.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1063894483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 UNION CHAPEL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459357",
            "telephone_number": "260-482-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N TOWNLINE RD",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467611325",
            "telephone_number": "260-463-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "IN-02006284A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HARDEN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lagrange, IN

Sources for this page

Verify at the official NPI Registry.