Individual provider Active NPI

Rebecca C Rastetter, MD

  • Pediatrics Physician
  • Milford, OH
National Provider Identifier
1386725455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.079773 Issued in OH
Practice address
703 State Route 28
Suite B
Milford, OH 45150-5021
Phone
(513) 831-9912
Fax
(513) 965-3992
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.079773 OH Primary

Addresses

Primary practice location

703 State Route 28
Suite B
Milford, OH 45150-5021

Mailing address

703 State Route 28
Suite B
Milford, OH 45150-5021
Phone (513) 831-9912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181120001469 CT Practitioner - Pediatric Medicine 5597853341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.079773OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Pediatrics CurrentSince Oct 8, 2018 Accepting new patients
Loveland Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

2200 Whitney Ave
Ste 240
Hamden, CT 06518
Phone (203) 287-5400

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: rrastetter4353@direct.ynhh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386725455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 STATE ROUTE 28",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505021",
            "telephone_number": "513-831-9912",
            "fax_number": "513-965-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 STATE ROUTE 28",
            "address_2": "SUITE B",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505021",
            "telephone_number": "513-831-9912",
            "fax_number": "513-965-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTETTER",
        "first_name": "REBECCA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.079773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.