Rekha Kostecke, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.140264 Issued in OH

Practice address

1550 N Milford Rd
Ste 307
Milford, MI 48381-1022

Phone

(248) 676-0991

Fax

(248) 676-9862

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Rekha Gupta Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkostecke847185@direct.hfhs.org
• Direct secure messaging: rkosteck@direct.dmc.org

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.

• McLaren Macomb

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1396014601

  Pediatrics

  Medicare reassignment NPD
• Rekha Kostecke, M.D., P.C.

  • Pediatrics Physician
  • Milford, MI
  • NPI 1992088595
  NPD (past) Authorized official
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1285676940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MILFORD RD",
            "address_2": "STE 307",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811022",
            "telephone_number": "248-676-0991",
            "fax_number": "248-676-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MILFORD RD",
            "address_2": "STE 307",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811022",
            "telephone_number": "248-676-0991",
            "fax_number": "248-676-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTECKE",
        "first_name": "REKHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301055825",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.140264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4078235-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4301055825",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383458615",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rekha.kosteckemd.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "970 W Wooster St Rm 130",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REKHA",
            "last_name": "GUPTA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatrics Physician in Milford, MI
• Providers in Milford, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.