NPIMap

Individual provider Active NPI

Joseph Joshua Rebhan, M.D.

  • Family Medicine Physician
  • Sister Bay, WI
National Provider Identifier
1316957277
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41448 Issued in WI
Practice address
2345 Canterbury LN
Sister Bay, WI 54234-5602
Phone
(920) 868-3511
NPI assigned
Aug 9, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41448 WI Primary

Addresses

Primary practice location

2345 Canterbury LN
Sister Bay, WI 54234-5602

Mailing address

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 746-0510

Other identifiers 1

IdentifierTypeStateIssuer
33328500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000648 WI Practitioner - Family Practice 3678604576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Door County Memorial HospitalGroup PAC ID 5395735088, 85 clinicians

Practice addresses (Care Compare)

2345 Canterbury LN
Sister Bay, WI 54234-5602
Phone (920) 868-3511

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41448WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Door County Memorial Hospital CurrentSince Jan 1, 2002 Accepting new patients
Door County Memorial Hospital CurrentSince Jan 1, 2002 Accepting new patients

Locations

2345 Canterbury Ln
Sister Bay, WI 54234
Phone (920) 380-9890

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

Interoperability endpoints

  • Direct secure messaging: joseph.rebhan@direct.dcmedical.org

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Door County Medical CenterSturgeon Bay, WI, CCN 521358 Hospital Corporate Director Jan 1, 2026
Door County Medical Center Swing BedSturgeon Bay, WI, CCN 52Z358 Hospital Corporate Director Jan 1, 2026
Pete and Jelaine Horton CenterSturgeon Bay, WI, CCN 525377 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2026
Jan 1, 2026
Jan 1, 2026
Door County Medical Center Sturgeon BaySturgeon Bay, WI, CCN 528531 Rural health clinic Corporate Director Jan 1, 2026
Door County Medical Center Sister BaySister Bay, WI, CCN 528532 Rural health clinic Corporate Director Jan 1, 2026
Door County Medical Center AlgomaAlgoma, WI, CCN 528530 Rural health clinic Corporate Director Jan 1, 2026
Door County Medical Center Washington IslandWashington Island, WI, CCN 528515 Rural health clinic Corporate Director Jan 1, 2026
DirectcareSturgeon Bay, WI, CCN 528654 Rural health clinic Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1316957277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401",
            "telephone_number": "920-746-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 CANTERBURY LN",
            "city": "SISTER BAY",
            "state": "WI",
            "postal_code": "542345602",
            "telephone_number": "920-868-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHAN",
        "first_name": "JOSEPH",
        "middle_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "41448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33328500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sister Bay, WI

Sources for this page

Verify at the official NPI Registry.