Rebekah Gensure, M.D., PH.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

10507952-1205 Issued in UT

Practice address

755 E 3900 S
Salt Lake City, UT 84107-2176

Phone

(801) 266-2283

Fax

(801) 268-6151

NPI assigned

Mar 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt Lake Retina LLCGroup PAC ID 0042430282, 4 clinicians

Eye Institute of Utah IncGroup PAC ID 3678556438, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Merit-based Incentive Payment System (MIPS)

Final score

92.68 of 100Reported as group

Quality

98.84

Improvement activities

40

Cost

77.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: rgensure@directaddress.net
• Direct secure messaging: rgensure149760@direct.med.utah.edu

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.

• Eye Institute of Utah Inc

  dba The Eye Institute of Utah

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1366515041
  Medicare reassignment Care Compare group NPD
• Salt Lake Retina, LLC

  dba Salt Lake Retina

  • Retina Specialist (Ophthalmology) Physician
  • West Jordan, UT
  • NPI 1144622234
  Medicare reassignment Care Compare group
• Douglas S. Mehr, M.D., P.C.

  dba Salt Lake Retina

  • Ophthalmology Physician
  • South Jordan, UT
  • NPI 1508052234
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health Intermountain Medical Center

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1225490444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072176",
            "telephone_number": "801-266-2283",
            "fax_number": "801-268-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072176",
            "telephone_number": "801-266-2283",
            "fax_number": "801-268-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSURE",
        "first_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "10507952-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Services, Inc.
• Genesis Vascular of Salt Lake (Genesis Vascular of Salt Lake, LLC)
• Renee Marie Gengelbach
• Amy Marie Genisot, PHARMD
• Vanessa Genova
• Carmella L Gentile
• Jessica Lynn Gentile
• Kristin Sandra Gentile
• Gentiva Health Services (USA), Inc.
• Crystal Gentry, SLP/MS-CCC

• Retina Specialist (Ophthalmology) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Retina Specialist (Ophthalmology) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.