Active NPI
Rebeca Ann Kimsey Markovich, M.D.
- Pediatrics Physician
- Homestead, FL
National Provider Identifier
1093081580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME123947
- Practice address
- 975 Baptist Way Ste 103
Homestead, FL 33033-7600 - Phone
- (305) 245-4549
- Fax
- (305) 245-4590
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME123947 | FL | Primary |
Addresses
Primary practice location
975 Baptist Way Ste 103
Homestead, FL 33033-7600
Mailing address
975 Baptist Way Ste 103
Homestead, FL 33033-7600
Phone (305) 245-4549
Other names 1
- Rebeca Ann Kimsey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123947 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestead Pediatric Associates, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rebeca.kimsey.1@4018.direct.athenahealth.com
- https://api.platform.athenahealth.com/4018/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Homestead, FL
- NPI 1669469771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1093081580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 BAPTIST WAY STE 103",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337600",
"telephone_number": "305-245-4549",
"fax_number": "305-245-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 BAPTIST WAY STE 103",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337600",
"telephone_number": "305-245-4549",
"fax_number": "305-245-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMSEY MARKOVICH",
"first_name": "REBECA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME123947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECA",
"last_name": "KIMSEY",
"middle_name": "ANN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.