Individual provider Active NPI

Jonathan Francis Rehberg, M.D.

  • Obstetrics & Gynecology Physician
  • Sylacauga, AL
National Provider Identifier
1124067053
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28010 Issued in AL
Practice address
315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433
Phone
(256) 249-6995
Fax
(256) 245-6992
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28010 AL Primary

Addresses

Primary practice location

315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433

Mailing address

315 W Fort Williams St Ste 100
Sylacauga, AL 35150-2433
Phone (256) 249-6995

Other identifiers 1

IdentifierTypeStateIssuer
009911203MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070907000565 AL Practitioner - Obstetrics/Gynecology 6800899717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sylacauga Obstetrics and Gynecology, PCGroup PAC ID 7810080751, 3 clinicians

Practice addresses (Care Compare)

315 W Fort Williams St
Sylacauga, AL 35150-2433

Hospital & facility affiliations

  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sylacauga Health Care Authority Inc Past Accepting new patients
Lung Care & PastSince Aug 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathan.rehberg@sylobgyn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCECBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCECBD/Endpoint/FCECBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BICCCA

Organizations & group practices 3

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 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1124067053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W FORT WILLIAMS ST STE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502433",
            "telephone_number": "256-249-6995",
            "fax_number": "256-245-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W FORT WILLIAMS ST STE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502433",
            "telephone_number": "256-249-6995",
            "fax_number": "256-245-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERG",
        "first_name": "JONATHAN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "28010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911203",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.